Department of Pediatric Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Afr J Paediatr Surg. 2023 Jul-Sep;20(3):191-196. doi: 10.4103/ajps.ajps_14_22.
To study the profile of paediatric blunt abdominal trauma and to assess the correlation of grade of injury with the outcome.
It is a prospective observational study from January 2015 to December 2020. Children below 12 years with blunt abdominal trauma were included. Patient demographic data, treatment given and the final outcome were recorded. All patients were followed up for a minimum of 6 months to maximum 5 years.
A total of 68 patients were included in the study. Fall from height was the most common mode of injury (62%) followed by road traffic accidents (35%) and the other causes included in the miscellaneous group (hit by animal and fall of heavy object on the abdomen; 3%). Most commonly injured organ was liver (n = 28, 41%) followed by spleen (n = 18, 26%) and kidney (n = 15, 22%). Other injuries were bowel perforations (jejunal [n = 4], ileal [n = 1] and large bowel [n = 1]; 9%), pancreaticoduodenal (n = 5, 7%), urinary bladder (n = 3, 4%), abdominal vascular injury (iliac vein-1, inferior vena cava-1;3%), adrenal haematoma (n = 2,3%) and common bile duct (CBD) injury (n = 1, 1%). More than one organ injury was seen in 13 cases (19%). Non-operative management was successful in 84% (n = 27) and laparotomy was done in 16% (n = 11). Most of the patients sustained Grade IV injury (n = 36, 53%) and majority of the patients (n = 60, 88%) had good outcome without any long-term complications.
Profile of paediatric blunt abdominal trauma include solid organ injuries such as liver, spleen, kidney, pancreas, adrenal gland and others like bowel injury, CBD, urinary bladder and abdominal vascular injury. The grade of injury does not correlate with the outcome in a higher grade of injury and these children had good outcome.
研究小儿钝性腹部创伤的特征，并评估损伤程度与结果的相关性。
这是一项从 2015 年 1 月至 2020 年 12 月的前瞻性观察研究。纳入年龄在 12 岁以下、有钝性腹部创伤的患儿。记录患者的人口统计学数据、治疗方法和最终结果。所有患者均随访至少 6 个月，最长 5 年。
共纳入 68 例患者。最常见的损伤方式是从高处坠落（62%），其次是道路交通意外（35%），其他原因包括动物撞击和重物落在腹部（3%）。最常受伤的器官是肝脏（28 例，41%），其次是脾脏（18 例，26%）和肾脏（15 例，22%）。其他损伤包括肠穿孔（空肠 4 例，回肠 1 例，大肠 1 例；9%）、胰十二指肠（5 例，7%）、膀胱（3 例，4%）、腹部血管损伤（髂静脉 1 例，下腔静脉 1 例；3%）、肾上腺血肿（2 例，3%）和胆总管（CBD）损伤（1 例，1%）。13 例（19%）患者有多处器官损伤。84%（27 例）患者采用非手术治疗成功，16%（11 例）患者行剖腹手术。大多数患者（n = 36，53%）的损伤程度为 IV 级，大多数患者（n = 60，88%）的预后良好，无长期并发症。
小儿钝性腹部创伤的特征包括肝脏、脾脏、肾脏、胰腺、肾上腺等实质器官损伤，以及肠损伤、CBD、膀胱和腹部血管损伤等其他损伤。损伤程度与结果无相关性，较高损伤程度的患儿预后良好。
