Conservative Management of Pancreatic Trauma in Children

作者: Martin S. Keller , Perry W. Stafford , Dennis W. Vane

DOI: 10.1097/00005373-199706000-00019

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摘要: Many adults and most children with a solid-organ abdominal injury can be managed nonoperatively. To date, however, little is known about the outcome of nonoperative management pancreatic injury. analyze current treatment patterns in children, all (age 0.05), coinciding decrease frequency drainage procedures for pseudocysts. The need surgical intervention was not influenced by age, Injury Severity Score, or Pediatric Trauma Score (p > 0.05). Associated injuries were common but did influence operations on pancreas No deaths attributed to These data indicate that early injury, absence clinical deterioration major ductal (grades III, IV, V), unwarranted, careful observation may supplant conventional therapy recommended adults.

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