[Diagnostic and therapeutic procedures in liver injuries in children].
Despite of severity of posttraumatic liver lesions after blunt abdominal trauma the availability of modern imaging diagnostic methods has changed the therapeutic concept. Nonoperative treatment attained an alternative place to operative procedures. For this kind of treatment personal and technical premises are mandatory. With ultrasound and computed tomography are non-invasive methods for diagnosis available. Paracentesis has lost of importance. This report of 7 children with liver laceration within 6 years discuss diagnostic and therapeutic practice. Decision for operative or nonoperative treatment depends on critical evaluation.
Klinik für Chirurgie, Bereichs Medizin (Charité) der Humboldt-Universität zu Berlin.
H
H
Giest
H
H
Wolff
R
R
Kursawe
H
H
Mau
D002648:Child; D002675:Child, Preschool; D005260:Female; D006406:Hematoma / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000401:mortality; D008099:Liver / Q000293:injuries*; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality; D012421:Rupture; D013536:Suture Techniques; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery*
Diagnostisches und therapeutisches Vorgehen bei Leberverletzungen im Kindesalter.