지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.4
- 수록면
- 252 - 258 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: In pediatric solid organ injury, non-operative management is considered as a standard treatment when the patient is hemodynamically stable. However, treatment according to the injured organ and the depth of injury is controversial. The purpose of this study is to evaluate treatment results in the management of abdominal solid organ injuries in children.
Methods: This analysis was performed retrospectively with 57 consecutive children under 15 year of age who were diagnosed with abdominal solid organ injuries at Ewha Womans University Mokdong Hospital from January, 1999 to June, 2007.
Results: The major cause of pediatric solid organ injury was traffic accidents (59.6%) and the most frequently injured organ was the liver (66.7%). 54 patients (94.7%) were treated non-operatively and the success rate was 100%. There was no difference in type of management and success rate according to the depth of injury or the injured organs. The average ICU stay was 4.3 days, and the average hospital stay was 13.6 days and that was extended depending on the depth of injury. And according to the cause of injury, cases by traffic accident stayed significantly longer than cases by other causes.
Conclusion: High grade of injury is not contraindication of nonoperative management in pediatric solid organ injury. Hemodynamic instability is the only absolute indication of operation. Therefore, if the patient is stable, non-operative management with intensive observation is the choice of treatment.
Methods: This analysis was performed retrospectively with 57 consecutive children under 15 year of age who were diagnosed with abdominal solid organ injuries at Ewha Womans University Mokdong Hospital from January, 1999 to June, 2007.
Results: The major cause of pediatric solid organ injury was traffic accidents (59.6%) and the most frequently injured organ was the liver (66.7%). 54 patients (94.7%) were treated non-operatively and the success rate was 100%. There was no difference in type of management and success rate according to the depth of injury or the injured organs. The average ICU stay was 4.3 days, and the average hospital stay was 13.6 days and that was extended depending on the depth of injury. And according to the cause of injury, cases by traffic accident stayed significantly longer than cases by other causes.
Conclusion: High grade of injury is not contraindication of nonoperative management in pediatric solid organ injury. Hemodynamic instability is the only absolute indication of operation. Therefore, if the patient is stable, non-operative management with intensive observation is the choice of treatment.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (24)
참고문헌 신청
1. [보고서] - Korean National Statistical Office / 2006 / Annual Report on the Cause of Death Statistics
2. [단행본] - Stylianos S / 2006 / Abdominal trauma. in: Pediatric Surgery. 6th ed / Mosby-Elsevier : 295 ~ 316
3. [학술지(정기간행물)] - Tataria M / 2007 / Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimental / J Trauma 63 : 608 ~ 614
4. [학술지(정기간행물)] - Bond SJ / 1996 / Nonoperative management of blunt hepatic and splenic injury in children / Ann Surg 223 : 286 ~ 289
5. [학술지(정기간행물)] - Jobst MA / 1999 / Management of pancreatic injury in pediatric blunt abdominal trauma / J Pediatr Surg 34 : 818 ~ 823
2. [단행본] - Stylianos S / 2006 / Abdominal trauma. in: Pediatric Surgery. 6th ed / Mosby-Elsevier : 295 ~ 316
3. [학술지(정기간행물)] - Tataria M / 2007 / Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimental / J Trauma 63 : 608 ~ 614
4. [학술지(정기간행물)] - Bond SJ / 1996 / Nonoperative management of blunt hepatic and splenic injury in children / Ann Surg 223 : 286 ~ 289
5. [학술지(정기간행물)] - Jobst MA / 1999 / Management of pancreatic injury in pediatric blunt abdominal trauma / J Pediatr Surg 34 : 818 ~ 823
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UCI(KEPA) : I410-ECN-0101-2013-514-002687565