Erez I, Kovalivker M, Lazar L, Motovic A
Dept. of Pediatric Surgery, Meir General Hospital, Kfar Saba.
Harefuah. 1991 Jan 1;120(1):12-5.
Operative and conservative management of 44 children with injuries of the abdomen are reviewed retrospectively. Conservative treatment is well accepted for splenic injury. 12/26 children were thus treated during the period 1984-1988, and in the same 5 years, 9/18 children with hepatic injury were also treated conservatively. Indications for operation in splenic and liver injuries are: hemodynamic instability, evidence of associated severe intra-abdominal injuries, and blood transfusion of over 40 ml/kg during the resuscitation period. There was no mortality nor morbidity related to nonoperative management.
对44例腹部受伤儿童的手术治疗和保守治疗进行回顾性分析。脾损伤采用保守治疗被广泛接受。1984年至1988年期间，26例脾损伤儿童中有12例接受了保守治疗，在同一5年期间，18例肝损伤儿童中有9例也接受了保守治疗。脾损伤和肝损伤的手术指征为：血流动力学不稳定、存在严重腹腔内联合损伤的证据以及复苏期间输血超过40 ml/kg。非手术治疗未导致死亡或发病。
