Evans R D, Brotman S, Wilt E
Postgrad Med. 1986 Feb 1;79(2):169-74. doi: 10.1080/00325481.1986.11699276.
Blunt abdominal trauma, common in the pediatric patient, often presents diagnostic difficulties. Following proper resuscitation of the patient, the abdomen must be carefully evaluated. Adequate physical examination is often impossible. Computed tomography of the abdomen is preferable in the stable patient, but peritoneal lavage is occasionally useful. Nonoperative therapy is often used in management of solid visceral injuries in children, but this type of therapy necessitates frequent, careful monitoring.
钝性腹部创伤在儿科患者中很常见,常常带来诊断难题。在对患者进行适当的复苏后,必须仔细评估腹部情况。往往无法进行充分的体格检查。对于病情稳定的患者,腹部计算机断层扫描是更好的选择,但腹腔灌洗偶尔也有用。非手术疗法常用于小儿实体脏器损伤的治疗,但这种治疗方法需要频繁、仔细地监测。