Schunn M C, Schäfer J, Neunhoeffer F, Lieber J, Fuchs J
Klinik für Kinder- und Jugendmedizin, Abteilung für Kinderchirurgie und Kinderurologie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Diagnostische und Interventionelle Radiologie, Abteilung für Kinderradiologie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Chirurgie (Heidelb). 2023 Jul;94(7):651-663. doi: 10.1007/s00104-022-01798-2. Epub 2023 Jun 20.
Fatal accidents due to blunt force trauma are the leading cause of death in children and adolescents [1]. Abdominal trauma is the third most common cause of death after traumatic brain injury and thoracic injuries [2]. Abdominal injury is seen in approximately 2-5% of children involved in accidents [3]. Blunt abdominal injuries are common sequelae of traffic accidents (for example as seat belt injury), falls, and sports accidents. Penetrating abdominal injuries are rare in central Europe. Spleen, liver, and kidney lacerations are the most common injuries after blunt abdominal trauma [4]. In most situations, nonoperative management (NOM) has become the gold standard with the surgeon leading the multidisciplinary treatment [5].
钝器创伤导致的致命事故是儿童和青少年死亡的主要原因[1]。腹部创伤是继创伤性脑损伤和胸部损伤之后第三大常见死因[2]。在约2 - 5%的事故儿童中可见腹部损伤[3]。钝性腹部损伤是交通事故（如安全带损伤）、跌倒和运动事故的常见后遗症。在中欧，穿透性腹部损伤较为罕见。脾、肝和肾裂伤是钝性腹部创伤后最常见的损伤[4]。在大多数情况下，非手术治疗（NOM）已成为由外科医生主导多学科治疗的金标准[5]。
