کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3239819 1206020 2014 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Blunt abdominal aortic trauma in paediatric patients
ترجمه فارسی عنوان
ترومای آئورت شکمی در بیماران کودکان
کلمات کلیدی
ضایعه شکمی شکم، آسیب آئورت، آسیب آئورت، اطفال، فرزندان، سندرم کمربند ایمنی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

BackgroundBlunt abdominal aortic trauma (BAAT) is a very rare occurrence in children, with significant morbidity and mortality. Varied clinical presentations and sparse literature evidence make it difficult to define the proper management policy for paediatric patients.MethodWe report our centre's data on three consecutive children with BAAT managed between 2006 and 2010. A Medline search was also performed for relevant publications since 1966, together with a review of references in retrieved publications.ResultsForty children (range 1–16 years) were included in our final analysis. Motor vehicle crashes (MVC) were the leading cause of injury (65%). The in-hospital mortality rate was 7.5% (3/40). Nine patients (22.5%) ended up with residual sequelae. Main primary aortic lesions were complete wall rupture (12.5%), intimal transection (70%) and pseudoaneurysm (15%). Twenty-eight children underwent aortic surgical repair (70%). Among the 12 non-operatively managed patients, 41.6% had complications, including one death.ConclusionSymptomatic lesions and complete ruptures should undergo immediate surgical repair. Circumferential intimal transections are at high risk of complication and should also receive intervention. Partial intimal transections and delayed pseudoaneurysms can be initially observed by clinical examination and imaging. Patients with these latter pathologies should be operated on at any sign of deterioration.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 45, Issue 1, January 2014, Pages 183–191
نویسندگان
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