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[Thoracic and abdominal trauma in children: study of 122 cases (author's transl)]

V Martínez Ibáñez, A Blanco, A Castellví

    Anales Espanoles De Pediatria
    |December 1, 1981
    PubMed

    Insights

    This review examines pediatric trauma in patients under 7 years old, identifying automobile accidents and falls as primary causes. Early recognition of multiple injuries is crucial for improving prognosis in pediatric trauma patients.

    Area of Science:

    • Pediatric Surgery
    • Trauma Surgery
    • Emergency Medicine

    Context:

    • Review of 122 pediatric patients (under 7 years) with thoracic and/or abdominal trauma from 1966-1979.
    • Excludes birth-related injuries.
    • Identifies key etiological factors: automobile accidents, falls, and penetrating injuries.

    Purpose:

    • To analyze the patterns and outcomes of non-birth-related thoracic and abdominal trauma in young children.
    • To highlight the incidence of specific injuries (abdominal, renal, thoracic, vertebral).
    • To emphasize the significance of coexisting injuries in pediatric trauma.

    Summary:

    • A total of 154 injuries were documented across 122 patients.
    • The most frequent injuries involved the abdomen (63) and kidneys (58).
    • Mortality was primarily linked to brain injuries (66% of deaths) and secondary complications like septic and hemorrhagic shock.

    Impact:

    • Underscores the high incidence of polytrauma in pediatric patients, necessitating comprehensive evaluation.
    • Stresses the importance of recognizing associated injuries for better patient prognosis.
    • Advocates for a proactive role of pediatric surgeons in injury prevention through interdisciplinary collaboration.

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