ZHOU Ying,WANG Xue feng,HU Ji meng,et al.Management of severe pancreatic blunt injury in children[J].Journal of Clinical Pediatric Surgery,,12():187-190.[doi:10.3969/j.issn.1671—6353.2013.03.007]
Management of severe pancreatic blunt injury in children
- Abstract:
- Objetive To investigate the optimal management for severe pancreatic blunt injury (AAST Ⅲand Ⅳ) in children.MethodsWe analyzed the cases of blunt pancreatic injury(AAST Ⅲand Ⅳ) retrospectively. Clinical data were collected. Twelve Patients were divided into three groups (2 expectant treatment， 5 external drainage and 5 ERCP). Length of hospital stay， improvement to clinical symptoms， and duration for hemodiastase decreased to normal， feeding by mouth after treatment， complications were used to evaluate optimal management for these patients.ResultsAll the Patients were survived healthily and no need for resection of pancreas or internal drainage. They were followed up 3~51 month. There is no difference in duration for hemodiastase decreased to normal， feeding by mouth after treatment between external drainage and ERCP group， but better than expectant treatment group. Two patients with expectant treatment complicated pseudocyst larger than 8cm which were disappeared spontaneously after 6 months. Two cases experienced external drainage whose symptoms could not released and finally cured by ERCP successfully. When the haemodynamics of patients is stable， it is safety for ERCP.ConclusionMost of severe pancreatic blunt injury (AAST Ⅲand Ⅳ) in children could treat with no operative， external drainage or ERCP and cured finally. We should make an independent optimal plan for different patients. Large sample cases were needed to evaluate more exactly.
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