Management of Blunt Abdominal Injuries in Pediatric Maharaj Nakhon Si Thammarat Hospital
Keywords:
Blunt abdominal injury, Conservative/non-operative management, Solid organ injury, Computed tomography (CT)Abstract
Background: Intra-abdominal organ injury is relatively uncommon in pediatric patients. However, this can be a significant cause of morbidity and mortality. Treatment of pediatric blunt abdominal injury has evolved markedly. We describe the current management of pediatric blunt abdominal injury in Maharaj Nakhon Si Thammarat Hospital.
Objective: To review management of pediatric patients (under 15 years old) with blunt abdominal injury in Maharaj Nakhon Si Thammarat Hospital from 1st January 2018 – 31st December 2020.
Material and Methods: A retrospective descriptive study was conducted in pediatric patients with blunt abdominal injury in Maharaj Nakhon Si Thammarat Hospital from 1st January 2018 – 31st December 2020. The organ of injuries, management (Operative vs non-operative management), length of Hospital stay and mortality rate were collected.
Results: The study included 37 patients with the age of 10.5 years old (10 years and 6 months) on average, of which 73% (27) were male, and 27% (10) were female. The majority (73% or 27 patients) received conservative management, another 22% (8 patients) received operative management, and the other 5% (2 patients) were transferred. The patients with the operative management included 5 patients with hollow viscus organ injury, one for each combination of pancreatic and stomach injury, liver injury, and splenic injury. All of the patients choosing conservative management received abdominal computed tomography. The isolated intra-abdominal organ injury was identified in 14 patients. Thirteen patients had multiple organ injuries. Abdominal organ injuries were reported comprising 11 patients of splenic injury, 9 patients of liver injury, 5 patients of both liver and splenic injury, one patient of both liver and kidney injury, and one patient of both splenic and kidney injury. All patients received treatment by NPO, measured serial hematocrit, and closely monitored the vital sign. As a result, none required a further operation and eventually recovered.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
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