Zhang Dan,Chen Yajun,Wang Zengmeng,et al.Management of blunt pancreatic trauma in children:a report of 42 cases.[J].Journal of Clinical Pediatric Surgery,,17():523-527.
Management of blunt pancreatic trauma in children:a report of 42 cases.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 07
Page:
523-527
Column:
论著
Date of publication:
2018-07-28
- Keywords:
- Pancreas/IN; Pancreatic Pseudocyst; Pseudocyst Drainage; Child
- Document code:
- A
- Abstract:
- ObjectiveTo review the management and outcomes of pediatric blunt pancreatic trauma.MethodsFrom January 2008 to December 2016,a total of 42 hospitalized children with blunt pancreatic trauma were reviewed with regards to clinical features,management strategies and outcomes.ResultsThere were 33 boys and 9 girls with an age range of 1.6 to 14 years.The clinical grades of pancreatic injuries were low (Ⅰ-Ⅱ,n=25) and high (Ⅲ-Ⅴ,n=17).One in lowgrade group died of multiple organ dysfunction syndrome related to complex trauma while the remainder recovered with nonoperative measures.In highgrade group,one died of disseminated intravascular coagulation (DIC) related to hepatic and inferior vena cava laceration whike another underwent emergency proximal pancreas ligation and distal pancreatic jejunostomy.And postoperative pseudocyst was treated nonoperatively.Initial nonoperative management were adopted in 15 children.And closed external drainage was applied for intractable pseudocyst.ConclusionUncommon with a low morbidity and occult symptoms,pediatric blunt pancreatic trauma leads to delayed referral and misdiagnosis.Patients without complications of other organs often have a higher level of pancreatic injury.Abdominal ultrasound is an ideal screening choice.Minor pancreatic injury,usually not lifethreatening,may be managed nonoperatively and followed by pseudocyst external drainage.
Last Update:
2018-07-24