Noaman Farah, Lam Lawrence T, Soundappan S V, Browne Gary J
Discipline of Emergency Medicine, Faculty of Medicine, The University of Sydney, Sydney, Australia.
Pediatr Emerg Care. 2010 Jan;26(1):30-5. doi: 10.1097/PEC.0b013e3181cd7f3f.
To increase the evidence base by characterizing various features of pediatric sports-related abdominal injuries.
A review of the trauma database at The Children's Hospital at Westmead was undertaken for all abdominal injuries presenting to the emergency department between 2001 and 2006.
The Children's Hospital at Westmead is a tertiary-level pediatric trauma center servicing Sydney's west. It sees approximately 50,000 patients a year.
Only those injuries occurring during an organized sport were included for analysis. Thirty-three of the original 513 patients were eligible for inclusion.
The data collected included basic demographics, mechanism of injury, sport injury, time to presentation, length of stay, diagnoses, treatment, and complications. Injury severity scores were assigned retrospectively.
Males sustained more injuries than females. Collisions and falls were the most common modes of injury. Rugby was the most common sport for injury. Most patients presented within 12 hours, and most presented with musculoskeletal injuries. Injury severity was usually mild; treatment, conservative; length of stay, short; and complications, uncommon. When characteristics were compared by sex, males had mostly collision injuries in high-impact/contact sports, with females having more falls in other sports. When characteristics were compared by age, the only statistically significant difference was in the organ injured: older children had more single solid organ injuries, and younger children had more multiple and hollow viscus injuries.
Sports-related abdominal injuries in children are mostly minor and not as common as other injury mechanisms. Despite this, they can be serious, with early diagnosis often delayed because of their subtle nature. Sports-related abdominal injuries in children require a high index of suspicion in the part of the clinician if they are to be recognized early and managed effectively.
通过描述小儿运动相关腹部损伤的各种特征来增加证据基础。
对2001年至2006年间在韦斯特米德儿童医院急诊科就诊的所有腹部损伤病例进行创伤数据库回顾。
韦斯特米德儿童医院是为悉尼西部服务的三级小儿创伤中心。每年接待约50000名患者。
仅纳入在有组织运动期间发生的损伤进行分析。最初的513例患者中有33例符合纳入标准。
收集的数据包括基本人口统计学信息、损伤机制、运动损伤、就诊时间、住院时间、诊断、治疗及并发症。回顾性分配损伤严重程度评分。
男性受伤多于女性。碰撞和跌倒为最常见的损伤方式。橄榄球是最常见的致伤运动。大多数患者在12小时内就诊，且多数表现为肌肉骨骼损伤。损伤严重程度通常较轻；治疗以保守为主；住院时间短；并发症不常见。按性别比较特征时，男性在高冲击力/接触性运动中多为碰撞伤，女性在其他运动中跌倒伤更多。按年龄比较特征时，唯一具有统计学意义的差异在于受损器官：年龄较大儿童的单一实性器官损伤更多，年龄较小儿童的多个和中空脏器损伤更多。
小儿运动相关腹部损伤大多较轻，不如其他损伤机制常见。尽管如此，它们可能很严重，因其性质隐匿，早期诊断常被延误。小儿运动相关腹部损伤若要早期识别并有效处理，临床医生必须高度怀疑。
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