title: [Evolution of diagnostics and treatment methods of closed isolated spleen injuries in children].
abstract: An analysis of treatment of 75 children of the age from 3 years to 17 admitted to the St. Petersburg Pediatric Medical Academy was made. All the children were admitted with the diagnoses of blunt (closed) injuries of the abdomen, ruptures of the spleen, intra-abdominal bleedings. The patients were divided into 3 groups according to the periods of hospitalization. In each group the patients were examined and treated which corresponded to the surgical strategy for rupture of the spleen at that period. Different methods of examinations and therapy were determined in the three groups of patients with similar pathology.
authors.forename: I A
authors.initials: IA
authors.lastname: Komissarov
authors.forename: D V
authors.initials: DV
authors.lastname: Filippov
authors.forename: A N
authors.initials: AN
authors.lastname: Ialfimov
authors.forename: A A
authors.initials: AA
authors.lastname: Denisov
authors.forename: M I
authors.initials: MI
authors.lastname: Komissarov
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D012189:Retrospective Studies; D012421:Rupture; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy / Q000379:methods*; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000601:surgery