血管造影下栓塞行儿童脾损伤的非手术治疗

来源 :世界核心医学期刊文摘(儿科学分册) | 被引量 : 0次 | 上传用户:zhanranran
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A 12- year-old girl was admitted after a bicycle accident, and a grade 4 splenic injury was diagnosed. She became hemodynamically unstable within the first hours after arrival and remained so despite fluid resuscitation and transfusions. As an alternative to laparotomy, sple-nic artery embolization was performed. The patient had an uneventful recovery without the need for further transf-usions. Nonoperative management of blunt splenic trauma remains the gold standard in pediatric trauma care. In hemodynamically unstable patients, splenic artery embolization should be considered as an adjunct to that strategy. A 12-year-old girl was admitted after a bicycle accident, and a grade 4 splenic injury was diagnosed. She became hemodynamically unstable within the first hours after arrival and still so fluid resuscitation and transfusions. As an alternative to laparotomy, sple- The patient had an uneventful recovery without the need for further transf-usions. Nonoperative management of blunt splenic trauma remains the gold standard in pediatric trauma care. In hemodynamically unstable patients, splenic artery embolization should be considered as an adjunct to that strategy.
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