Chen Lulu,Zhao Jungang,Huang Shungen,et al. Clinical analysis of 165 cases of splenic trauma in children in Suzhou.[J].Journal of Clinical Pediatric Surgery,,17():840-844.
Clinical analysis of 165 cases of splenic trauma in children in Suzhou.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 11
Page:
840-844
Column:
论著
Date of publication:
2018-11-20
- Keywords:
- ; Spleen Trauma; Abdominal Injuries; Epidemiology; Therapy; Child
- Document code:
- A
- Abstract:
- ObjectiveTo improve the understanding of splenic trauma in children by analyzing age distribution,causes of trauma,methods of detection,combined injuries and treatments of splenic trauma in Suzhou.MethodsThe clinical data were collected and retrospectively analyzed for 165 hospitalized children with splenic trauma from January 2011 to December 2017.ResultsThe major causes of injuries included accidental falls & bruises (n=65,39%),traffic accidents (n=80,48.5%) and dropping from a high place (n=18,11%).Significant intergroup differences existed in systolic blood pressure,admission level of hemoglobin and presence or absence of transfusion (P<0.05).The ultrasonic diagnostic rate was 68.3%,CT scan 81.9% and enhanced CT 98.6%.There were simple splenic trauma (46.1%) and other injuries (53.9%),including lung trauma,bone fracture,liver contusion and urinary system injury,etc.Among them,155 children (93.9%) received conservative treatment and 10 children (6.1%) were operated.Seven of them underwent open splenic resection and treatments of the remainder included laparoscopic abdominal exploration plus splenectomy and splenic rupture repair.As compared with those without blood transfusion,there was a significant increase in surgical risk for transfusions（OR=12.255,95%CI:1.410~106.531).ConclusionAge distribution of children with splenic trauma is predominant at preschool and school ages.Accidental falls or bruises,dropping from a high place and traffic accidents are the major causes of splenic trauma in children.Children with splenic trauma often have combined injures of two or more other organs.Enhanced CT can effectively diagnose splenic trauma and combined injuries.Most cases of splenic trauma may be treated conservatively and blood transfusion is an independent surgical risk factor.
Last Update:
2018-11-23