小儿腹部创伤42例诊疗分析

Analysis of Children Abdominal Trauma 42 Cases

目的总结小儿腹部创伤的诊疗经验。方法对42例小儿腹部创伤的病因、伤情、诊治进行分析。结果手术治疗35例,其中术后并发肺炎3例(占8.6%),刀口感染2例(占5.7%),多器官功能障碍综合征(MODS)2例(占5.7%),治愈40例(占95.2%),死亡2例(占4.8%)。结论腹穿是诊断腹部创伤简便可靠的手段,对小儿的治疗应考虑小儿的生理特点,以维护正常脏器生理功能。

Objective To sum up the diagnostic and therapeutic experience in children with abdominal trauma .Methods 42 children with abdominal trauma were analyzed on causes,state of illness , diagnosis and therapy.Results Surgical operation were done in 35 patients , 3 patients(8.6%) of them got pneumonia after operation,2 patients(5.7%) got cut-infection,2 patients(5.7%) got multiple organs disorder syndrom(MODS),40 patients (95.2%) were cured and 2 patients(4.8%) died.Conclusion Abdominal cavity-puncture is a handy and trusty means in abdominal trauma diagnosis. The children's physiological charactoristics should be considered during therapy, in order to maintain natural organ's function.