title: [The criteria for choose of treatment method of children with spleen injuries].
abstract: It was performed cohort prospective study of treatment results of 69 children with through-capsule spleen injuries for the period from 2002 to 2013. Patients were divided into 2 groups. The first group included 63 patients after non-surgical treatment. The second group included 6 children who underwent surgery. In the first group 95.3% of patients had stable hemodynamics at admission. In the second group only 2 patients had the signs of deferred bleeding. Continuing abdominal bleeding was the indication for surgery in 4 patients although stable hemodynamics. Hemoperitoneum in case of spleen injury is not significant prognostic factor defining the tactics of treatment. The physiological response on bleeding but not the amount of blood in abdominal cavity determines tactics of treatment. Hemodynamic status is single statistically significant criterion for choose of surgical treatment of children with spleen injuries. Unstable hemodynamics increases the risk of surgical treatment in 20 times (p<0.007).
authors.forename: V V
authors.initials: VV
authors.lastname: Podkamenev
authors.forename: I A
authors.initials: IA
authors.lastname: Pikalo
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D000293:Adolescent; D002648:Child; D005260:Female; D006439:Hemodynamics; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D018579:Patient Selection; D011446:Prospective Studies; D020379:Risk Adjustment; D012426:Russia; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*