Zahran M, Eklöf O, Thomasson B
Pediatr Radiol. 1984;14(5):304-9. doi: 10.1007/BF01601881.
Although blunt abdominal trauma is common in children, the G-I tract is involved only rarely. However, this paper deals with a series of 24 cases in whom a hollow viscus was injured. We present the radiological and operative findings as well as the results of subsequent radiological workup in patients who had no surgery. Contrary to the recent trend which stresses early abdominal CT as critically important for guiding treatment we have retained a more conservative attitude. Our present protocol includes plain radiography frequently combined with sonographic screening of the abdomen. In patients with stable vital signs and when necessary, we follow up with scintigraphy. CT is reserved for complicated cases with obscure clinical manifestations which do not fit the plain radiological findings and also cases running an unexpected course.
虽然钝性腹部创伤在儿童中很常见，但胃肠道受累却很少见。然而，本文探讨了一系列24例中空脏器受损的病例。我们展示了接受手术患者的放射学和手术结果，以及未接受手术患者后续放射学检查的结果。与近期强调早期腹部CT对指导治疗至关重要的趋势相反，我们采取了更为保守的态度。我们目前的方案包括经常进行腹部平片检查，并结合超声检查。对于生命体征稳定的患者，必要时我们会进行闪烁扫描。CT则保留用于临床表现不明确、不符合平片放射学表现的复杂病例，以及病情发展出人意料的病例。
