Emergency ultrasound diagnosis and principles of starting therapy for abdominal trauma in children

Abstract

Introduction . In the General structure of children with abdominal pain, suspected abdominal injury amounted to 21%, of which 2% required surgery. Purpose of the study. To present the frequency of occurrence, experience in the diagnosis and treatment of abdominal injuries in children. Method of research . The increased level of injuries was observed in the summer months (45%). The majority of children (89%) were hospitalized urgently for 6 hours. after injury. Among the victims was dominated by the boys, and 109 (73%). The age peak was 9,4 ± 3,6 years. Examination, clinical and instrumental examination and treatment are regulated by clinical recommendations. Ultrasound (ultrasound) is the most informative method of diagnosing abdominal trauma. Echography was performed upon admission of the patient, followed by control after 8–12, 16–24 and 36–48 hours after injury and on the 7th, 14th and 21st day of the disease. Results . Posttraumatic changes in the liver were noted in 68% of hospitalized patients, pathology in the structure of the spleen was found in 36%, and in the pancreas in 32% of cases. Kidney damage was found in 25% of patients, bladder injury was detected in 0,9% of cases, intestinal paresis in 43% of patients, and free fluid in the abdominal cavity described in 23% of conclusions was the result of intra-abdominal bleeding. 146 (98%) patients were medically treated, 3 (2%) patients were urgently operated on. Conservative therapy included: bed rest, enteral rest, cold stomach, infusion program, symptomatic and antibacterial treatment. All children were discharged in satisfactory condition home. The average bed day was 27,3 ± 8,5 days. Conclusion . Timely diagnosis and assessment of the severity of the condition makes it possible to conduct adequate treatment, which in turn allows you to preserve the principles of organ preservation and minimize the risk of operational aggression.