Sayi E N, Mlay S M
Department of Surgery, Muhimbili Medical Centre, Dar es Salaam.
East Afr Med J. 1993 Feb;70(2):120-2.
Fifty two consecutive children with abdominal trauma who were admitted and managed at the Paediatric Surgical Unit (PSU) of Muhimbili Medical Centre (MMC) between January 1987 and December 1990 were studied. There were 35 boys and 17 girls with ages ranging from 1 year to 11 years. Most of the children came from the mostly populated areas of Dar es Salaam. The commonest causes of injury were traffic accidents (57.7%), followed by falls (32.7%). All patients due to traffic motor accidents were pedestrians except two. Forty (77%) patients had blunt abdominal injuries while 12 (23%) patients had penetrating abdominal injuries. Of these patients with peritoneal penetration only two had significant vascular injury. All patients presented with specific signs of abdominal trauma. The commonest specific organ injured was the spleen followed by the liver. The mortality was 7.6%. Associated injuries were noted in 32.6% of the cases.
对1987年1月至1990年12月期间在穆希姆比利医疗中心（MMC）小儿外科病房（PSU）收治并接受治疗的52例连续性腹部创伤儿童进行了研究。其中有35名男孩和17名女孩，年龄在1岁至11岁之间。大多数儿童来自达累斯萨拉姆人口最密集的地区。最常见的受伤原因是交通事故（57.7%），其次是跌倒（32.7%）。除两名患者外，所有因交通机动车事故受伤的患者均为行人。40例（77%）患者为钝性腹部损伤，12例（23%）患者为穿透性腹部损伤。在这些有腹膜穿透的患者中，只有两例有严重的血管损伤。所有患者均表现出腹部创伤的特定体征。最常受伤的特定器官是脾脏，其次是肝脏。死亡率为7.6%。32.6%的病例存在相关损伤。
