| Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. | |
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MedLine Citation:
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PMID: 20517771 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of this study was to evaluate the significance of the ultrasonographic finding of pelvic fluid as a predictor of organ injury in pediatric patients with blunt abdominal trauma. METHODS: We reviewed retrospectively the medical records of 85 consecutive pediatric patients who admitted to the Emergency Department of Dicle University from January 2008 to December 2008 with blunt abdominal trauma. Age, gender, mechanism of injury, isolated injuries, surgical interventions, hospitalization, and mortality were evaluated according to the location of fluid. RESULTS: A total of 85 pediatric patients (63 male, 22 female; mean age: 7.88+/-3.403 years) with blunt abdominal trauma were included in the present study. Forty percent of the patients had intraperitoneal fluid, while 60% had pelvic fluid. The majority (35.3%) of patients applied due to falling from height. The difference between the mechanism of the injuries and location and presence of the fluid was not statistically significant (p>0.05). Twenty-nine patients had solid organ injuries. Splenic injuries showed the highest association with intraperitoneal fluid (p<0.001). Of the patients, 15.3% underwent exploratory laparotomy and 44.7% required blood transfusion. The presence of intraperitoneal fluid statistically increased the probability of the exploratory laparotomy and necessity of blood transfusion (p<0.001). Mortality rate was 4.8%. CONCLUSION: In ultrasound examination, it was determined that the probability of solid organ injury was lower in the presence of pelvic fluid, while it was higher in the presence of intraperitoneal fluid outside the pelvis. |
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Authors:
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Murat Orak; Mehmet Ustündağ; Cahfer Güloğlu; Mehmet Tahir Gökdemir; Mehmet Ozgür Erdoğan; Behçet Al |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Volume: 16 ISSN: 1306-696X ISO Abbreviation: Ulus Travma Acil Cerrahi Derg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-06-02 Completed Date: 2010-08-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101274231 Medline TA: Ulus Travma Acil Cerrahi Derg Country: Turkey |
Other Details:
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Languages: eng Pagination: 155-9 Citation Subset: IM |
Affiliation:
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Dept. of Emergency Medicine (EM), Dicle University Faculty of Medicine, Diyarbakir, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Injuries
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classification,
surgery,
ultrasonography* Blood Transfusion / statistics & numerical data Bodily Secretions / secretion Child Child, Preschool Female Humans Male Pelvis / radiography, surgery, ultrasonography Retrospective Studies Spleen / injuries, surgery Ultrasonography / methods* Wounds, Nonpenetrating / surgery, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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