title: [Organ-preserving therapy of splenic injuries in childhood--radiologic and immunologic follow-up studies].
abstract: Care of traumatized spleen has undergone an interesting change. In view of the fact that children without spleen are exposed to an increased infection risk, attempts are now directed at preserving the organ. The author's own patients included 9 children whose spleen had been traumatized at an age between 5 4/12 and 11 7/12 years. 4 children were given conservative treatment under intensive care, whereas surgery of the traumatized spleen was performed five times. 7 children were followed up. The changed morphological structure and the immunological situation were factors of particular interest. Depending upon the degree of severity of the injury to the spleen, scars remain in the parenchyma which are of different extension and which are associated with corresponding storage defects. The humoral and cell-promoted immunity is maintained.
mesh_terms: D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D008297:Male; D011859:Radiography; D013154:Spleen / Q000000981:diagnostic imaging / Q000276:immunology / Q000293:injuries / Q000601:surgery*
chemical_list: D007074:Immunoglobulin G
vernacular_title: Organerhaltende Therapie bei Milzverletzungen im Kindesalter--radiologische und immunologische Nachuntersuchungen.