PDF(Pubmed)
Abstract：
BACKGROUND: Abdominal trauma in children is a significant health concern that often leads to severe complications and even death. Children experience trauma more frequently than adults, with approximately one in four pediatric patients suffering from serious abdominal injuries. Falls are the leading cause of such trauma among children, which is intriguing considering that most hospital admissions for pediatric abdominal injuries result from blunt force impacts.
METHODS: A retrospective cross-sectional analysis of medical records was conducted to examine all patients under the age of 16 who underwent exploratory laparotomy for abdominal trauma between January 1, 2020, and January 1, 2023. The clinical data were gathered using a data extraction sheet from each patient\'s medical charts. Information on socio-demographic characteristics, injury mechanisms, clinical conditions at the initial presentation, intraoperative findings and complications, and patient outcomes were collected.
RESULTS: The study involved a total of 90 patients, consisting of 72 males (80%) and 18 females (20%). The average age of the patients was 10, with a standard deviation of 4.7, ranging from 2 to 16 years. Half of the patients were below the age of 10, accounting for 46 individuals (51%). The causes of the injuries varied among patients below and above the age of 10. However, overall, bullet injuries were the most common cause, accounting for 28 cases (31%), followed by falls in 21 cases (23.3%), horse or donkey kicks in 10 cases (11.1%), stab injuries in 10 cases (11.1%), horn injuries in 7 cases (7.8%), and road traffic accidents in 6 cases (6.7%). Physical assault, blasts, and other types of injuries, such as hen bites and metal rod injuries, were observed in 8 cases (8.9%) of the patients. Fall accidents, horse or donkey kicks, and horn injuries were particularly more common among children below the age of 10, while bullet injuries and stab injuries were most common among those above the age of 10.
CONCLUSIONS: Following abdominal trauma in children, a range of complications may arise, including immediate issues such as infections and hemorrhaging, as well as long-term consequences like impaired organ functionality and psychological distress. In our region, young children are particularly vulnerable to accidents involving falls, kicks from horses or donkeys, and injuries caused by horns. Therefore, it is crucial to educate parents about these hazards. Additionally, providing appropriate guidance on firearm safety is essential for individuals who possess such weapons.
METHODS: A retrospective cross-sectional analysis of medical records was conducted to examine all patients under the age of 16 who underwent exploratory laparotomy for abdominal trauma between January 1, 2020, and January 1, 2023. The clinical data were gathered using a data extraction sheet from each patient\'s medical charts. Information on socio-demographic characteristics, injury mechanisms, clinical conditions at the initial presentation, intraoperative findings and complications, and patient outcomes were collected.
RESULTS: The study involved a total of 90 patients, consisting of 72 males (80%) and 18 females (20%). The average age of the patients was 10, with a standard deviation of 4.7, ranging from 2 to 16 years. Half of the patients were below the age of 10, accounting for 46 individuals (51%). The causes of the injuries varied among patients below and above the age of 10. However, overall, bullet injuries were the most common cause, accounting for 28 cases (31%), followed by falls in 21 cases (23.3%), horse or donkey kicks in 10 cases (11.1%), stab injuries in 10 cases (11.1%), horn injuries in 7 cases (7.8%), and road traffic accidents in 6 cases (6.7%). Physical assault, blasts, and other types of injuries, such as hen bites and metal rod injuries, were observed in 8 cases (8.9%) of the patients. Fall accidents, horse or donkey kicks, and horn injuries were particularly more common among children below the age of 10, while bullet injuries and stab injuries were most common among those above the age of 10.
CONCLUSIONS: Following abdominal trauma in children, a range of complications may arise, including immediate issues such as infections and hemorrhaging, as well as long-term consequences like impaired organ functionality and psychological distress. In our region, young children are particularly vulnerable to accidents involving falls, kicks from horses or donkeys, and injuries caused by horns. Therefore, it is crucial to educate parents about these hazards. Additionally, providing appropriate guidance on firearm safety is essential for individuals who possess such weapons.
摘要：
背景：儿童腹部创伤是一个重要的健康问题，通常会导致严重的并发症甚至死亡。儿童比成年人更频繁地经历创伤，大约四分之一的儿科患者患有严重的腹部损伤。跌倒是儿童遭受这种创伤的主要原因，考虑到大多数儿科腹部损伤的住院患者都是由钝器撞击造成的，这很有趣。
方法：对所有在2020年1月1日至2023年1月1日期间因腹部创伤而接受剖腹探查的16岁以下患者的病历进行回顾性横断面分析。临床数据是使用每位患者的医疗图表中的数据提取表收集的。关于社会人口特征的信息，损伤机制,初次就诊时的临床状况，术中发现和并发症，并收集患者结果。
结果：该研究共涉及90名患者，由72名男性（80％）和18名女性（20％）组成。患者的平均年龄为10岁，标准偏差为4.7，范围为2至16岁。一半的患者年龄在10岁以下，占46人（51％）。10岁以下和10岁以上的患者受伤的原因各不相同。然而,总的来说,子弹伤是最常见的原因,占28例(31%)，其次是下降21例(23.3%)，马或驴踢10例(11.1%)，刺伤10例(11.1%)，角损伤7例(7.8%)，和6宗道路交通事故(6.7%)。人身攻击,爆炸,和其他类型的伤害，比如母鸡咬伤和金属棒受伤，8例(8.9%)患者中观察到。坠落事故,马或驴踢，角损伤在10岁以下的儿童中尤其常见，而子弹损伤和刺伤在10岁以上的儿童中最常见。
结论：儿童腹部创伤后，可能会出现一系列并发症，包括直接的问题，如感染和出血，以及器官功能受损和心理困扰等长期后果。在我们地区,幼儿特别容易受到跌倒事故的影响，踢马或驴，和角造成的伤害。因此,教育父母这些危害至关重要。此外,提供适当的枪支安全指导对于拥有此类武器的个人至关重要。
方法：对所有在2020年1月1日至2023年1月1日期间因腹部创伤而接受剖腹探查的16岁以下患者的病历进行回顾性横断面分析。临床数据是使用每位患者的医疗图表中的数据提取表收集的。关于社会人口特征的信息，损伤机制,初次就诊时的临床状况，术中发现和并发症，并收集患者结果。
结果：该研究共涉及90名患者，由72名男性（80％）和18名女性（20％）组成。患者的平均年龄为10岁，标准偏差为4.7，范围为2至16岁。一半的患者年龄在10岁以下，占46人（51％）。10岁以下和10岁以上的患者受伤的原因各不相同。然而,总的来说,子弹伤是最常见的原因,占28例(31%)，其次是下降21例(23.3%)，马或驴踢10例(11.1%)，刺伤10例(11.1%)，角损伤7例(7.8%)，和6宗道路交通事故(6.7%)。人身攻击,爆炸,和其他类型的伤害，比如母鸡咬伤和金属棒受伤，8例(8.9%)患者中观察到。坠落事故,马或驴踢，角损伤在10岁以下的儿童中尤其常见，而子弹损伤和刺伤在10岁以上的儿童中最常见。
结论：儿童腹部创伤后，可能会出现一系列并发症，包括直接的问题，如感染和出血，以及器官功能受损和心理困扰等长期后果。在我们地区,幼儿特别容易受到跌倒事故的影响，踢马或驴，和角造成的伤害。因此,教育父母这些危害至关重要。此外,提供适当的枪支安全指导对于拥有此类武器的个人至关重要。
