Smith M D, Camp E, James H, Kelley H G
Department of Surgery, Spartanburg Regional Medical Center, South Carolina, USA.
Am Surg. 1997 Mar;63(3):294-8.
Two cases are reported that reiterate the significance of pediatric seat belt usage. Detection of associated injuries is difficult and often delayed. The presence of intra-abdominal free fluid on CT without solid organ injury should indicate the need for surgical intervention. Diagnostic peritoneal lavage usage in pediatric seat belt trauma may need to be re-evaluated. These cases emphasize the above as well as important postinjury clinical changes necessary for earlier diagnosis. A newly designed youth seat belt is presented to help prevent these injuries.
报告了两例重申儿童使用安全带重要性的病例。相关损伤的检测困难且常常延迟。CT显示腹腔内有游离液体但无实体器官损伤时，应表明需要进行手术干预。小儿安全带创伤中诊断性腹腔灌洗的应用可能需要重新评估。这些病例强调了上述情况以及早期诊断所需的重要伤后临床变化。还介绍了一种新设计的青少年安全带，以帮助预防这些损伤。
