Tenge R K, Ndungu J M
Department of Surgery, Moi University, Eldoret.
East Afr Med J. 1999 Oct;76(10):580-2.
To determine the pattern of intra-abdominal injuries arising from blunt abdominal trauma and evaluate the management of blunt abdominal trauma and its outcome.
Retrospective study.
Paediatric Surgical Department, Kenyatta National Hospital (KNH), Nairobi.
Fifty-five children who were admitted and treated for blunt abdominal trauma in KNH between January 1983 and December 1993.
Morbidity as determined by operative management and complications, mortality and period of hospital stay.
Incidence of trauma was high in males with male to female ratio of 2:1. Incidence of trauma was prevalent in seven year age group. Motor vehicle accidents accounted for the majority of injuries. Most patients arrived late in hospital. Sixty per cent underwent laparotomy. Three quarters of these had positive findings. The spleen was the organ most commonly injured. Hypovolaemic shock was the most frequent complication. One patient died during management. On average, patients stayed for seven days in the ward before discharge.
Blunt abdominal trauma more commonly affected male children. Motor vehicle accidents were a major aetiologic factor in blunt abdominal trauma in children seen in Kenyatta National Hospital. Twenty-five per cent of the children were subjected to unnecessary operation. This was due to unavailability of sensitive diagnostic modalities.
确定钝性腹部创伤所致腹腔内损伤的模式，并评估钝性腹部创伤的处理及其结果。
回顾性研究。
内罗毕肯雅塔国家医院小儿外科。
1983年1月至1993年12月期间在肯雅塔国家医院因钝性腹部创伤入院治疗的55名儿童。
手术处理和并发症所确定的发病率、死亡率及住院时间。
男性创伤发生率高，男女比例为2:1。创伤发生率在7岁年龄组中最为普遍。机动车事故占损伤的大多数。大多数患者入院时已延误。60%的患者接受了剖腹手术。其中四分之三有阳性发现。脾脏是最常受伤的器官。低血容量性休克是最常见的并发症。1例患者在治疗期间死亡。患者出院前平均在病房住7天。
钝性腹部创伤在男性儿童中更为常见。机动车事故是肯雅塔国家医院所见儿童钝性腹部创伤的主要病因。25%的儿童接受了不必要的手术。这是由于缺乏敏感的诊断手段。
