全国对儿科创伤十二指肠损伤的分析
Zachary C Ballinger1, Max D Hazeltine1, Alyssa Stetson1
1University of Massachusetts Chan Medical School, Worcester, Massachusetts.
The Journal of surgical research
|October 24, 2024
概括
儿科十二指肠损伤是严重的,通常是由男性的机动车辆碰撞造成的. 患有十二指肠损伤的幼儿可能表明非意外创伤 (NAT),需要增加怀疑.
科学领域:
- 儿科手术 儿科手术
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 儿童的创伤性十二指肠损伤是罕见的,严重的,诊断和管理复杂的.
- 使用国家数据库提供了对儿科十二指甲骨损伤特征的全面概述.
研究的目的:
- 分析患有十二指肠损伤的儿童的人口和临床特征.
- 为了比较十二指肠损伤患者的特征与其他儿科创伤住院治疗.
- 为了调查与儿童非意外创伤 (NAT) 相关的十二指肠损伤.
主要方法:
- 2016年儿童住院患者数据库的横截面分析.
- 用ICD-10-CM代码识别十二指肠损伤病例,用于18岁以下的患者.
- 多变量后勤回归用于将十二指肠损伤住院情况与其他创伤病例进行比较,并分析NAT.
主要成果:
- 确定了237例儿科十二指肠损伤病例;患者通常是年长的男性,NAT的受害者,受伤严重程度更高,住院时间更长.
- 机动车碰撞是最常见的原因;频繁的并发伤害包括肺,肝脏,胰腺和肠道.
- 男性 (aOR1.88),年龄较大 (aOR1.04) 和NAT (aOR4.18) 与十二指甲受伤住院的几率增加有关.
结论:
- 儿科十二指肠损伤主要影响男性,通常是因机动车辆碰撞造成的.
- 3岁以下儿童的十二指甲骨损伤需要怀疑非意外创伤 (NAT).
- 这些伤害是严重的,与其他需要干预的重大创伤有关,并导致长时间住院.
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