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小儿外科医生的腹部创伤评估

Abdominal Trauma Evaluation for the Pediatric Surgeon.

作者信息

Drexel Sabrina, Azarow Kenneth, Jafri Mubeen A

机构信息

OHSU Doernbecher Children's Hospital, Division of Pediatric Surgery, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.

OHSU Doernbecher Children's Hospital, Division of Pediatric Surgery, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA; Randall Children's Hospital at Legacy Emanuel, 501 N. Graham St, Suite 300, Portland, OR 97227, USA.

出版信息

Surg Clin North Am. 2017 Feb;97(1):59-74. doi: 10.1016/j.suc.2016.08.004.

Abstract

Trauma is the leading cause of pediatric mortality and abdominal injury is a significant contributor to morbidity. The assessment of abdominal trauma in children must be conducted expeditiously and thoroughly. Physical examination, laboratory testing, and imaging are central to trauma evaluation. In children with minor injury, protocols may help to limit the use of ionizing radiation. Children with significant abdominal injury who are unstable should be resuscitated with blood products and undergo emergent surgical intervention.

摘要

创伤是儿童死亡的主要原因,腹部损伤是导致发病的重要因素。儿童腹部创伤的评估必须迅速且全面地进行。体格检查、实验室检查和影像学检查是创伤评估的核心。对于轻伤儿童,相关方案可能有助于限制电离辐射的使用。腹部损伤严重且情况不稳定的儿童应输入血液制品进行复苏,并接受紧急手术干预。

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