儿童上腺损伤:一个单一中心的30年回顾
Ashley Stoeckel1, Madelyn McArthur2, David P Mooney2
1Department of General Surgery, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA. Ashley.Stoeckel@childrens.harvard.edu.
概括
儿童上腺损伤很少见,大多数病例在没有干预的情况下得到解决. 最初的成像可能表明存在质量,但后续扫描很少证实儿童持续的上腺病变.
科学领域:
- 儿科创伤学 儿科创伤学
- 副腎腺體成像檢查
- 紧急医疗 紧急医疗
背景情况:
- 创伤性上腺损伤在儿童中不常见.
- 最初的成像可能对上腺质量含糊不清.
- 大多数儿科上腺损伤会自发消失.
研究的目的:
- 评估小儿创伤患者上腺损伤的发生率.
- 确定儿童上腺损伤后续成像的必要性.
主要方法:
- 对1994-2023年创伤登记数据的回顾性审查.
- 分析患者的人口统计,损伤机制和相关损伤.
- 对上腺损伤的初始和后续成像的评估.
主要成果:
- 在27,747名创伤患者中,58名 (0.2%) 患有上腺损伤.
- 没有患者需要干预;6人进行了初始成像,涉及大规模.
- 随访成像很少证实持续的上腺病变.
结论:
- 儿童上腺损伤不常见,很少需要干预.
- 在成像中对上腺质量的初始担忧是不常见的,并且通常会解决.
- 需要进一步的多中心研究来指导后续成像协议.
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