title: Pediatric vascular trauma in Manaus, Amazon - Brazil.
abstract: to assess the incidence of pediatric vascular injuries in patients treated at the Emergency Room of the Eastern Children's Hospital, in Manaus.
  we conducted a retrospective study of pediatric patients who suffered vascular injuries treated between February 2001 to February 2012.
  we studied 71 patients, predominantly male (78.87%), with a mean age of 7.63 years. The predominant mechanism of injury was stab wound in 27 patients (38.03%). The average hospital stay was 10.18 days; 16 patients required care in intensive care unit, with average stay of 8.81 days. The main injuries occurred in the extremities, the upper limb being the most affected, with lesions of the ulnar artery in 13 (15.66%) and radial in 10 (12.04%). The mostly applied procedure was vascular exploration 35 (32.4%). Complications occurred in nine patients (12.68%). Mortality was 1.4%, in one patient with a lesion of the common iliac vein and the inferior vena cava due fall from height.
  pediatric vascular injury occurred predominantly in the extremities. The dimensions of the injured vessels made surgical correction more complex and increased complication rates, particularly amputations.
  avaliar a incidência de traumatismos vasculares pediátricos em doentes atendidos no Hospital Pronto Socorro da Criança Zona Leste, na cidade de Manaus.
  estudo retrospectivo de doentes pediátricos vítimas de traumatismos vasculares atendidos no período de fevereiro de 2001 a fevereiro de 2012.
  foram estudados 71 doentes com predominância do sexo masculino (78,87%) com média de idade de 7,63 anos. O mecanismo de trauma predominante foi o ferimento por arma branca em 27 pacientes (38,03%). A média de internação foi 10,18 dias, com 16 doentes necessitando de cuidados em unidade de tratamento intensivo com permanência média de 8,81 dias. As principais lesões ocorreram em extremidades, com predomínio do membro superior, com lesões das artérias ulnar em 13 (15,66%) e radial em dez (12,04%). O procedimento mais utilizado foi a exploração vascular 35 (32,4%). Em nove doentes (12,68%) ocorreram complicações. A mortalidade foi 1,4%, em um paciente com lesão da veia ilíaca comum e da veia cava inferior, devido à queda de altura.
  o traumatismo vascular pediátrico ocorreu predominantemente em extremidades. As dimensões dos vasos lesionados tornaram a correção cirúrgica mais complexa e aumentaram os índices de complicações, particularmente, de amputações.
authors.affiliation: Faculty of Medicine of Federal University of Amazonas (UFAM), Manaus, Amazonas State, Brazil.
authors.forename: Cleinaldo DE Almeida
authors.initials: CA
authors.lastname: Costa
authors.affiliation: Faculty of Medicine of Amazonas State University (UEA), Manaus, Amazonas State, Brazil.
authors.forename: José Emerson Dos Santos
authors.initials: JE
authors.lastname: Souza
authors.affiliation: Getúlio Vargas University Hospital (HUGV), Manaus, Amazonas State, Brazil.
authors.forename: Antônio Oliveira DE
authors.initials: AO
authors.lastname: Araújo
authors.affiliation: Adriano Jorge Hospital Foundation (FHAJ), Manaus, Amazonas State, Brazil.
authors.forename: Flávio Augusto Oliva
authors.initials: FA
authors.lastname: Melo
authors.affiliation: Faculty of Medicine of Amazonas State University (UEA), Manaus, Amazonas State, Brazil.
authors.forename: Isabelle Nascimento
authors.initials: IN
authors.lastname: Costa
authors.affiliation: Faculty of Medicine of Amazonas State University (UEA), Manaus, Amazonas State, Brazil.
authors.forename: Paulo Henrique
authors.initials: PH
authors.lastname: Klein
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D057772:Vascular System Injuries / Q000453:epidemiology*