Cases of pediatric intra-abdominal solid organ injury induced by blunt trauma experienced over a 15-year period at two centers in Japan  

作　　者：Mayu Matsui Koshiro Sugita Takafumi Kawano Nanako Nishida Ayaka Nagano Masakazu Murakami Keisuke Yano Toshio Harumatsu Shun Onishi Koji Yamada Waka Yamada Mitsuru Muto Tatsuru Kaji Satoshi Ieiri 

机构地区：[1]Department of Pediatric Surgery,Kagoshima City Hospital,Kagoshima,Japan [2]Department of Pediatric Surgery,Research Field in Medical and Health Sciences,Medical and Dental Area,Research and Education Assembly,Kagoshima University,Kagoshima,Japan [3]Department of Pediatric Surgery,Kurume University School of Medicine,Kurume,Japan

出　　处：《World Journal of Pediatric Surgery》2023年第3期168-174,共7页世界小儿外科杂志（英文）

摘　　要：Objective The present study attempts to clarify the clinical features of pediatric intra-abdominal solid organ injury at two institutions.Methods The injured organ,patient age,sex,injury grade,imaging findings,intervention,length of hospital stay,and complications were retrospectively reviewed using medical records at two centers from 2007 to 2021.Results There were 25 cases of liver injury,9 of splenic injury,8 of pancreatic injury,and 5 of renal injury.The mean age of all patients was 8.6±3.8 years old,with no difference between organ injury types.Radiological intervention was performed in four cases of liver injury(16.0%)and one case of splenic injury(11.1%),and surgery was performed in two cases of liver injury(8.0%)and three cases of pancreatic injury(37.5%).All other cases were treated conservatively.Complications included adhesive ileus in one case of liver injury(4.0%),splenic atrophy in one case of splenic injury(11.1%),pseudocysts in three cases of pancreatic injury(37.5%),atrophy of the pancreatic parenchyma in one case of pancreatic injury(12.5%),and urinoma in one case of renal injury(20.0%).No mortalities were observed.Conclusion Pediatric patients with blunt trauma had favorable outcomes at two pediatric trauma centers covering a broad medical area,including remote islands.

关 键 词：PEDIATRIC TRAUMA INJURY 

分 类 号：R726[医药卫生—儿科]