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HOME > J Korean Soc Traumatol > Volume 3(1); 1990 > Article
Abdominal trauma in children
Journal of Trauma and Injury 1990;3(1):20-46
DOI: https://doi.org/
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Trauma is the leading cause of death in children. Thirty-three children were treated for abdominal trauma from αtober 1986 to September 1990 in Kangdong Sacred Heart Hospital. The majority of patients (75.8%) was between four and nine years old. There were 25 males and eight females. The most common causes of injury were pedestrian traffic accidents(57.6%) foil wed by falls(24.2%). Seventeen of 22 children, transfered directly from injured site were evaluated at our emergency room within 1 hour of their injuries. If a pat ient was hemodynamically stable after initial resuscitation, ultrasonography and computed tomography were effective tools in the diagnosis and evaluation of the abdominal trauma in children. Serum transaminases were reliable valu~s for liver injuries. The most frequently injured abdominal organ was a liver followed by a spleen. Thirteen(39.4%) were treated nono야ratively without complications. Nineteen childre (57.6%) were transfused during initi허 resuscitation or after resuscitation because of decreasing blood counts. Overall mortality was 12.1%. The causes of death were lethal head injuries in three cases and severe hepatic vein and Ive injury in one case. Mortality was related to the number of organ systerns injured, presence of head injury and injury severity score (ISS) more than 30. We consider that nonoperative treatment appears to be a safe and satisfactory approach to the carefully selected pediatric patients with abdominal trauma, who are hemodynamically stable. I t is our opinion that there preferably should be a standard procedure in dealing with injured patients in order to avoid confusion in the evaluation and treatment of the patient with severe trauma in children

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