Changing treatment of pediatric splenic trauma
| Autor: | Michael J. Gelfand, Job S. Kakkasseril, Joseph A. Cox, David A. Stewart |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Male
medicine.medical_specialty Splenic trauma Adolescent medicine.medical_treatment Splenectomy Clinical state Wounds Penetrating Abdominal Injuries Blunt Blood loss Medicine Humans In patient Child Radionuclide Imaging business.industry Accidents Traffic Technetium medicine.disease Surgery Abdominal trauma Child Preschool Technetium Tc 99m Sulfur Colloid Female business Spleen Sulfur |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 117(6) |
| ISSN: | 0004-0010 |
| Popis: | • A review of splenic injuries at Cincinnati Children's Hospital Medical Center from July 1978 to June 1980 revealed this form of injury in 29 patients. Treatment without surgery was successful in 21 patients. Seven patients required operation. One patient died shortly after admission of severe associated injuries. All patients admitted with blunt abdominal trauma were initially treated conservatively. If the clinical state improved, after transfusions if necessary, or remained stable and there were no objective signs of further blood loss, conservative therapy was continued. Liver-spleen scans were obtained on an urgent basis to confirm the diagnosis of splenic injury in patients who did not undergo surgery. No complications of treatment without surgery were recognized. The satisfactory outcome in these patients suggests that there is a place for treatment without surgery in some children with splenic injury. ( Arch Surg 1982;117:758-759) |
| Databáze: | OpenAIRE |
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