小儿神经病学和医学杂志

Study of Surgical and Non-Operative Treatment for Pediatric Abdominal Injuries in a Trauma Center that Serves Both Adults and Children

Abstract

Edward Henry*

One of the leading causes of child death worldwide, including in Japan, is road accident. Unintentional injury remains a common cause of death for children in Japan, despite a 30 year decline in traffic fatalities. Unintentional injury is most frequently caused by road traffic accidents. As non-operative management has become the standard of care, the treatment of abdominal trauma has undergone significant change over the past few decades. Non-operative treatment accounts for more than 90% of pediatric solid organ abdominal injuries. Nevertheless, it is certain that some patients require surgical treatment. In the past, numerous abdominal injury management algorithms have been studied. The majority of them use hemodynamic stability or monitoring of hemoglobin as a proxy for ongoing blood loss.