Pérez-Godinez J, González-Romero G, Romero-Montes VE, Olvera-Duran JA, Nava-Carrillo AD

Language: Spanish
References: 8
Page: 29-32
PDF size: 47.45 Kb.

ABSTRACT

Introduction: The spleen is one of the organs more frequently damaged in the blunt trauma. The management of the blunt splenic injuries has evolved. At present many reports prefer the nonoperative management. We want to present our experience in the nonoperative management of the blunt splenic injuries.
Materials and methods: We revise the expedients of the children that they were presented with blunt splenic injury between March 1998 and February 2004. We analyze sex, age, mechanism of injury, symptoms, physical examination, blood pressure, hematocrit, hematuria and computed tomography scan, management and length of stay of hospitalization.
Results: We have 10 cases which 9 (90%) corresponded to male and 1 (10%) to female. The average age went of 13 years. The majority were produced for bicycle accidents. The zone of great pain was the left upper quadrant. In the computed tomography scan predominate the injuries class I and II. The average hematocrit at admission was 38.1% with a maximum descent of 15% in one case. Four patient requiring blood transfusions. None underwent operative management. The mean length of stay was 7 days. There were not subsequent complications.
Conclusion: The blunt splenic injuries can be approach with security with nonoperative management. Few patient requiring blood transfusions (10ml/kg). The conservative management does not delay needed operations.

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