Management of Abdominal Trauma with Hemorrhage in Children

Accession number;05A0261240
Title;Management of Abdominal Trauma with Hemorrhage in Children
Author; MOROE YUTA (Musashino Red Cross Hosp.) SUZAKI SHIN'ICHIRO (Musashino Red Cross Hosp.) KATSUMI ATSUSHI (Musashino Red Cross Hosp.) NAKABAYASHI MOTOAKI (Musashino Red Cross Hosp.) HARADA NAOSHIGE (Musashino Red Cross Hosp.) NAKAYAMA RIKA (Musashino Red Cross Hosp.) NAKAZAWA KAHOKO (Musashino Red Cross Hosp.) KABURAGI TOMONORI (Musashino Red Cross Hosp.)
Journal Title;Japanese Journal of Pediatric Surgery
Journal Code:Z0323B
ISSN:0385-6313
VOL.37;NO.2;PAGE.172-176(2005)
Figure&Table&Reference;FIG.1, TBL.2, REF.12
Pub. Country;Japan
Language;Japanese
Abstract;Hypovolemic shock due to intraabdominal hemorrhage is subject to crucial or fatal sequelae in pediatric traumatized patients. Fluid resuscitation and blood transfusion are measures which should be taken first for all abdominally injured patients. If the victim remains stable hemodynamically or responds to the initial fluid resuscitation, he or she can be potentially managed conservatively. For patients who are unstable or nonresponsive to fluid resuscitation, however, we are urged to conduct definitive hemostatic procedures immediately such as emergency operation and/or interventional radiology (IVR). Surgical operation is still the best way to control major abdominal hemorrhage, but recently interventional radiology (transcatheter arterial embolization, TAE) has been widely recognized as a powerful hemostatic alternative in treating massive bleeding due to abdominal parenchymal injuries in children. (author abst.)