کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278299 1611492 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Contrast blush in pediatric blunt splenic trauma does not warrant the routine use of angiography and embolization
ترجمه فارسی عنوان
سر و صدای کنتراست در ترومای پلاکتی خفیف اطفال، استفاده معمول از آنژیوگرافی و آمبولیزاسیون را اثبات نمی کند
کلمات کلیدی
اطفال، ضایعه شکمبه سرخ شدن کنتراست، آمبولیزاسیون آنژیوگرافی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundSplenic artery embolization (SAE) in the presence of contrast blush (CB) has been recommended to reduce the failure rate of nonoperative management. We hypothesized that the presence of CB on computed tomography has minimal impact on patient outcomes.MethodsA retrospective review was conducted of all children (<18 years) with blunt splenic trauma over a 10-year period at a level 1 pediatric trauma center. Data are presented as mean ± standard error of mean.ResultsSeven hundred forty children sustained blunt abdominal trauma, of which 549 had an identified solid organ injury. Blunt splenic injury was diagnosed in 270 of the 740 patients. All patients were managed nonoperatively without SAE. CB was seen on computed tomography in 47 patients (17.4%). There were no significant differences in the need for blood transfusion (12.5% vs 11.1%) or length of stay (3.1 vs 3.3 days) or need for splenectomy when compared in children with or without CB.ConclusionPediatric trauma patients with blunt splenic injuries can be safely managed without SAE and physiologic response and hemodynamic stability should be the primary determinants of appropriate management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 210, Issue 2, August 2015, Pages 345–350
نویسندگان
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