html?id=tnk3b50zC&utm_source=gb-gplus-shareCirugia Trauma Cirugia Trauma Cirugia Trauma. edited by Carlos Hernando Morales Uribe. Title, Cirugia: Trauma Yuluka: Medicina. Contributor, Carlos Hernando Morales Uribe. Publisher, Editorial Universidad de Antioquia, ISBN, Adriana Echavarria Medinaa, Carlos Hernando Morales Uribeb, Luis Guillermo Keywords: Blunt abdominal trauma; splenic trauma; hepatic trauma; non operative .. del traumatismo cerrado de hígado, indicaciones de cirugía y desenlaces.

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Pleural effusion following blunt splenic injury in the pediatric trauma population.

Cirugia Trauma

Clinical Pediatrics ;49 1: We found 3 factors that presented a statistically significant relationship with failure in this management: The purpose of this study was to determine the value of the yribe examination supported by imaging in patients with penetrating abdominal wounds in diagnosing intra-abdominal injury and to select candidates for nonoperative management. Le lesioni per compressione comportano un meccanismo relativamente comune nelle franenei terremotitra operai della costruzione, scavi, etc.

Associated factors to non-operative management failure of hepatic and splenic lesions secondary to blunt abdominal trauma in children. Risk of nonoperative treatment.

Trauma toracico – Wikipedia

Similar to what was previously reported in other series 1,3,6,7,15,23,27cirgia traffic accidents are the predominant trauma mechanism in the hepatic and splenic injuries due to closed trauma in our study group, followed by falls from high heights in second place and others less common causes, as trauma on bicycle or skateboards, trauma with blunt objects among others.

Pediatric Blunt Abdominal Trauma. Regarding what was mentioned above, we have tried to create diagnostic algorithms involving the FAST echo Focused Abdominal Sonography for Trauma which, when having a negative result, strongly hernndo the absence of major intra-abdominal trauma with a high negative predictive value, defining the patient group who would benefit from a larger study, such as CAT 33, All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Le indicazioni per la chirurgia relativamente immediata e per quella a lungo termine includono una diagnosi tardiva nel riconoscere le lesioni del diaframma e la comparsa di un’ ernia diaframmatica traumatica.


Anche le esplosioni possono portare a traumatismo toracico, sia per la perforazione della gabbia toracica che per l’inalazione di gas incandescenti con ustione dei bronchi che per lo sbalzo di pressione barotrauma. Schonfeld D, Lee L. In this study, we performed an traima in 64 out of the 67 patients who decided to perform NOM This may lead to better timing of surgical intervention and it may decrease the occurrence of complications associated with transfusion therapy, as well as increasing vascular permeability, such as pleural effusions, respiratory distress, rebleeding, transfusion reactions, among others 1.

The failure of nonoperative management in pediatric solid organ injury: Eur J Trauma Emerg Surg. Pediatr Clin N Am. This document is in the possession of the correspondence author. Menu di navigazione Strumenti personali Accesso non effettuato discussioni contributi registrati entra.

Venous thromboembolism VTE is a principal cause of death. Trauma patients are at high risk of deep vein thrombosis … More. The remaining patients Human Beings and animals protection: Factor predicting the need for splenectomy in children with blunt splenic trauma.

Of 67 patients who received NOM, 58 were successful and 9 showed failure 8 hemodynamic instability, 1 hollow viscera injury.

J Trauma Acute Care Surg. In most hernano, these lesions can be managed without surgery 6, Efficacy and safety of non-operative management of blunt liver trauma.

Sjovall A, Hirsch K. The hospital stay was Blunt Abdominal trauma in Children: Journal of Pediatric Surgery. The retrospective nature and sample size were the main limitations in our study, which is consistent with the low precense of this type of trauma in the pediatric traauma. In Colombia, pediatric trauma is responsible for In our series, we found no relationship between NOM failure and the mechanism or severity of hepatic or splenic trauma, and the presence of hemoperitoneum in more than 2 quadrants, although other series have found such association 1,24,27,28we did not.

Trauma toracico

In questo caso, la parete toracica assorbe l’impatto e la trasmette ai visceri. Table 3 establishes a comparison of Clinical and Moralse information among patients, in whom the NOM was successful and those who presented failure in it. A causa delle potenziali lesione anatomiche e funzionali delle coste e dei tessuti molli che includono il cuoreil polmone oppure i grossi vasi sanguignile lesioni toraciche sono urgenze mediche che se non vengono trattate rapidamente e adeguatamente possono condurre alla morte.


The objective was to identify factors associated with the failure of NOM in splenic and liver injuries for blunt abdominal trauma. We found 3 factors associated with failure NOM: The included heenando should present hemodynamic stability, absence of signs of peritoneal irritation 1,4,9,10,12,13,18,19,23,28,29whose age were between years old, with an initial NOM for hepatic or splenic trauma, no trauma to other solid organs or other voids rather than liver or spleen, which has required to proceed with surgery; patients who present evidence of tomographic images for classification of hepatic or splenic trauma and evidence of clinical and paraclinical data Hb levels in clinical history.

Rights to privacy and informed consent: How to cite this article. Patient who died at admission, or who needed surgery on admission, or with clinical or paraclinical incomplete information, incomplete imaging or that does not allow an analysis of the proposed variables figure 1: The pediatric trauma index variables: Patients that are hemodynamically unstable must undergo inmmediate surgical treatment.

The sensitivity and specificity of the physical examination for the emergent surgical decision was In our analysis, we found that abdominal CAT was used very frequently for the initial approach.

Ernest Eugene Moore 6. Il trauma contuso e le lesioni penetranti calos diversa fisiopatologia e decorso clinico.