PDF(Pubmed)
Abstract：
Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of blunt spleen and/or liver injury (BLSI), advocating for optimized resource utilization while maintaining patient safety. Nonoperative management (NOM) has become the mainstay of treatment for SOI, and since the publication of the APSA guidelines, numerous groups have evaluated how invasive procedures, hospitalization, and activity restrictions may be safely minimized in children with SOI. Here, we review the current evidence-based management guidelines in place for the treatment of injuries to the spleen, liver, kidney, and pancreas in children, including initial evaluation, inpatient management, and long-term care, as well as gaps that exist in the current literature that may be targeted for further optimization of protocols for pediatric SOI.
摘要：
实体器官损伤（SOI）在经历腹部创伤的儿童中很常见，在过去的几十年里，这种伤害的管理已经发生了显著的变化。2000年，美国小儿外科协会（APSA）发布了第一份关于钝性脾和/或肝损伤（BLSI）的社会指南。倡导优化资源利用，同时保持患者安全。非手术治疗（NOM）已成为SOI的主要治疗方法，自从APSA指南发布以来，许多小组已经评估了侵入性程序，住院治疗,在SOI儿童中，活动限制可以安全地最小化。这里,我们回顾了目前用于治疗脾脏损伤的循证管理指南，肝脏,肾,儿童的胰腺，包括初步评估，住院管理,和长期护理，以及当前文献中存在的可能针对进一步优化儿科SOI方案的空白。
