小儿钝性腹外伤保守治疗指征的选择至关重要,掌握好可避免不必要的探查手术,又可降低死亡率。对小儿损伤程度的判断,儿童外伤评分[1]和CT对实质脏器损伤的分纫[2],作为小儿保守治疗指征的选择条件存在一定的限度。本文重点探讨CT检查中造影剂外溢标志着损伤器官有活动性出血这 Selection of indications for conservative treatment of infantile blunt abdominal trauma is crucial in order to avoid unnecessary exploration and reduce mortality. Judgment of the degree of pediatric injury, pediatric trauma score [1] and CT on the organization of organ damage [2], as a conservative indication for the selection of children there are certain limitations. This article focuses on the CT examination in the contrast agent overflow marks the active bleeding of the organ injury