Skip to main content
Erschienen in: Pediatric Surgery International 8/2013

01.08.2013 | Original Article

The characteristics and outcomes of penetrating thoracic and abdominal trauma among children

verfasst von: Mehmet Emin Boleken, Muazez Cevik, Beytullah Yagiz, Mehmet Ter, Mustafa Erman Dorterler, Tugrul Rauf Aksoy

Erschienen in: Pediatric Surgery International | Ausgabe 8/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Trauma is the most important etiology of morbidity and mortality among children. Penetrating injuries to the thorax and abdomen are extremely rare in children. In the present study, we compared the characteristics of patients, management, and outcomes of penetrating thoracic and abdominal trauma in children.

Materials and methods

Data from children who were hospitalized for penetrating injuries of the thorax and abdomen from 2006 to 2012 were evaluated retrospectively. These injuries were evaluated with respect to patient details, clinical presentation, circumstances of trauma, management, and outcomes.

Results

Eighty-four patients were hospitalized for penetrating injuries to the thorax and abdomen. The mean age was 10.3 ± 3.79 years. Patient injuries comprised 26 gunshots injuries and 58 stabbing injuries. Thirty-one patients were wounded in the thorax, 43 were wounded in the abdomen, and 10 were wounded in both the thorax and abdomen. Thirty-one patients had undergone surgical interventions, while the other 53 were managed conservatively. The mean hospital stay was 4.41 ± 6.84 days.

Conclusions

The incidences of penetrating abdominal and thoracic trauma did not differ significantly. Penetrating injuries may be successfully managed by conservative therapy.
Literatur
1.
Zurück zum Zitat Wessen DE, Stylianos S, Pearl RH (2006) Thoracic injuries, abdominal trauma. In: Grosfeld JL, O’neill JA (eds) Pediatric surgery, 6th edn. Mosby Inc, Philadelpia, pp 275–316 Wessen DE, Stylianos S, Pearl RH (2006) Thoracic injuries, abdominal trauma. In: Grosfeld JL, O’neill JA (eds) Pediatric surgery, 6th edn. Mosby Inc, Philadelpia, pp 275–316
2.
3.
Zurück zum Zitat Sandler G, Leishman S, Branson H et al (2010) Body wall thickness in adults and children–relevance to penetrating trauma. Injury 41(5):506–509PubMedCrossRef Sandler G, Leishman S, Branson H et al (2010) Body wall thickness in adults and children–relevance to penetrating trauma. Injury 41(5):506–509PubMedCrossRef
4.
Zurück zum Zitat Ottochian M, Salim A, DuBose J et al (2009) Does age matter? The relationship between age and mortality in penetrating trauma. Injury 40(4):354–357PubMedCrossRef Ottochian M, Salim A, DuBose J et al (2009) Does age matter? The relationship between age and mortality in penetrating trauma. Injury 40(4):354–357PubMedCrossRef
5.
Zurück zum Zitat Schecter SC, Betts J, Schecter WP et al (2012) Pediatric penetrating trauma: the epidemic continues. J Trauma Acute Care Surg 73(3):721–725PubMedCrossRef Schecter SC, Betts J, Schecter WP et al (2012) Pediatric penetrating trauma: the epidemic continues. J Trauma Acute Care Surg 73(3):721–725PubMedCrossRef
6.
Zurück zum Zitat Adesanya AA, da Rocha-Afodu JT, Ekanem EE et al (2000) Factors affecting mortality and morbidity in patients with abdominal gunshot wounds. Injury 31(6):397–404PubMedCrossRef Adesanya AA, da Rocha-Afodu JT, Ekanem EE et al (2000) Factors affecting mortality and morbidity in patients with abdominal gunshot wounds. Injury 31(6):397–404PubMedCrossRef
7.
Zurück zum Zitat Melling L, Lansdale N, Mullassery D et al (2012) Penetrating assaults in children: often non-fatal near-miss events with opportunities for prevention in the UK. Injury 43(12):2088–2093PubMedCrossRef Melling L, Lansdale N, Mullassery D et al (2012) Penetrating assaults in children: often non-fatal near-miss events with opportunities for prevention in the UK. Injury 43(12):2088–2093PubMedCrossRef
8.
Zurück zum Zitat Adorisio O, Elia A, Pinzauti E et al (2008) The importance of a multidisciplinary approach in a child with major abdominal penetrating trauma. Pediatr Emerg Care 24(1):34–36PubMedCrossRef Adorisio O, Elia A, Pinzauti E et al (2008) The importance of a multidisciplinary approach in a child with major abdominal penetrating trauma. Pediatr Emerg Care 24(1):34–36PubMedCrossRef
9.
Zurück zum Zitat Moore K (2012) The knife and gun club just adjourned: managing penetrating injuries in the emergency department. J Emerg Nurs 38(1):102–103PubMedCrossRef Moore K (2012) The knife and gun club just adjourned: managing penetrating injuries in the emergency department. J Emerg Nurs 38(1):102–103PubMedCrossRef
10.
Zurück zum Zitat Holland AJ, Kirby R, Browne GJ et al (2002) Penetrating injuries in children: is there a message? J Paediatr Child Health 38(5):487–491PubMedCrossRef Holland AJ, Kirby R, Browne GJ et al (2002) Penetrating injuries in children: is there a message? J Paediatr Child Health 38(5):487–491PubMedCrossRef
11.
Zurück zum Zitat Morrison JJ, Clasper JC, Gibb I et al (2011) Management of penetrating abdominal trauma in the conflict environment: the role of computed tomography scanning. World J Surg 35(1):27–33PubMedCrossRef Morrison JJ, Clasper JC, Gibb I et al (2011) Management of penetrating abdominal trauma in the conflict environment: the role of computed tomography scanning. World J Surg 35(1):27–33PubMedCrossRef
12.
Zurück zum Zitat Cobanoğlu U, Yalçinkaya I (2010) Thoracic injuries. Ulus Travma Acil Cerrahi Derg 16(1):77–83PubMed Cobanoğlu U, Yalçinkaya I (2010) Thoracic injuries. Ulus Travma Acil Cerrahi Derg 16(1):77–83PubMed
13.
Zurück zum Zitat Madiba TE, Thomson SR, Mdlalose N (2001) Penetrating chest injuries in the firearm era. Injury 32(1):13–16PubMedCrossRef Madiba TE, Thomson SR, Mdlalose N (2001) Penetrating chest injuries in the firearm era. Injury 32(1):13–16PubMedCrossRef
14.
Zurück zum Zitat Como JJ, Bokhari F, Chiu WC et al (2010) Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma 68(3):721–733PubMedCrossRef Como JJ, Bokhari F, Chiu WC et al (2010) Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma 68(3):721–733PubMedCrossRef
15.
Zurück zum Zitat Salim A, Velmahos GC (2002) When to operate on abdominal gunshot wounds. Scand J Surg 91(1):62–66PubMed Salim A, Velmahos GC (2002) When to operate on abdominal gunshot wounds. Scand J Surg 91(1):62–66PubMed
16.
17.
Zurück zum Zitat Cigdem MK, Onen A, Siga M et al (2009) Selective nonoperative management of penetrating abdominal injuries in children. J Trauma 67(6):1284–1286PubMedCrossRef Cigdem MK, Onen A, Siga M et al (2009) Selective nonoperative management of penetrating abdominal injuries in children. J Trauma 67(6):1284–1286PubMedCrossRef
18.
Zurück zum Zitat Gaines BA, Rutkoski JD (2010) The role of laparoscopy in pediatric trauma. Semin Pediatr Surg 19(4):300–303PubMedCrossRef Gaines BA, Rutkoski JD (2010) The role of laparoscopy in pediatric trauma. Semin Pediatr Surg 19(4):300–303PubMedCrossRef
Metadaten
Titel
The characteristics and outcomes of penetrating thoracic and abdominal trauma among children
verfasst von
Mehmet Emin Boleken
Muazez Cevik
Beytullah Yagiz
Mehmet Ter
Mustafa Erman Dorterler
Tugrul Rauf Aksoy
Publikationsdatum
01.08.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Surgery International / Ausgabe 8/2013
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-013-3339-z

Weitere Artikel der Ausgabe 8/2013

Pediatric Surgery International 8/2013 Zur Ausgabe

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Erstmanifestation eines Diabetes-Typ-1 bei Kindern: Ein Notfall!

16.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Manifestiert sich ein Typ-1-Diabetes bei Kindern, ist das ein Notfall – ebenso wie eine diabetische Ketoazidose. Die Grundsäulen der Therapie bestehen aus Rehydratation, Insulin und Kaliumgabe. Insulin ist das Medikament der Wahl zur Behandlung der Ketoazidose.

Frühe Hypertonie erhöht späteres kardiovaskuläres Risiko

Wie wichtig es ist, pädiatrische Patienten auf Bluthochdruck zu screenen, zeigt eine kanadische Studie: Hypertone Druckwerte in Kindheit und Jugend steigern das Risiko für spätere kardiovaskuläre Komplikationen.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.