PDF(Pubmed)
Abstract：
Background Trauma is a significant cause of morbidity and mortality worldwide among children. Nonoperative management is the standard of care in hemodynamically stable children with blunt abdominal solid organ injury. Embolization is a potential pathway, which has shown increasing evidence for benefit in adult trauma patients. However, the data in children is limited. Materials and Methods A retrospective analysis of hospital data of all children (<18 years of age), presenting to a tertiary-care trauma center in India, with history of blunt trauma from January 2021 to June 2023, was performed. Preprocedural imaging, angiographic and embolization details, number of blood transfusions, and length of hospital stay were assessed. Results Two hundred and sixteen children (average age: 11.65 years) presented with a history of abdominal trauma during the study period. Eighty four children were FAST positive, out of whom, 67 patients had abdominal solid organ injury on computed tomography. Liver was the most commonly injured solid organ ( n = 45), followed by the spleen and kidney. Ten children had solid abdominal organ arterial injuries for which eight children underwent embolization. The average length of hospital stay in embolization group ( n = 8) was 4 days, as compared to 11 days in children undergoing operative management ( n = 2). At 6 months follow-up, all children were asymptomatic. Conclusion Superselective embolization is a safe and feasible procedure in appropriately selected children with abdominal injury.
摘要：
背景技术创伤是全世界儿童发病和死亡的重要原因。非手术治疗是血液动力学稳定的腹部实体器官钝性损伤患儿的护理标准。栓塞是一种潜在的途径,越来越多的证据表明成人创伤患者受益。然而,儿童的数据是有限的。材料与方法回顾性分析所有儿童（<18岁）的医院资料，向印度的三级护理创伤中心展示，患者有2021年1月至2023年6月的钝性外伤史.术前成像,血管造影和栓塞细节，输血次数,并评估住院时间。结果研究期间有腹部外伤史的216名儿童（平均年龄：11.65岁）。84名儿童呈快速阳性，离开谁,67例患者在计算机断层扫描上有腹部实体器官损伤。肝脏是最常见的损伤实体器官（n=45），其次是脾脏和肾脏。10名儿童腹部实体器官动脉损伤，其中8名儿童接受了栓塞治疗。栓塞组(n=8)平均住院时间为4天,相比之下，接受手术治疗的儿童为11天（n=2）。随访6个月时,所有儿童均无症状.结论对于适当选择的腹部损伤患儿，超选择性栓塞是一种安全可行的方法。
