Progress in the classification, diagnosis and treatment of liver injuries in children
10.3760/cma.j.cn101070-20200619-01029
- VernacularTitle:儿童肝外伤的分级和诊治进展
- Author:
Wenkai HUANG
1
;
Xueqiang YAN
Author Information
1. 华中科技大学同济医学院附属武汉儿童医院普外科，武汉 430016
- Keywords:
Liver injury;
Child;
American Association for the Surgery of Trauma;
The World Society of Emergency Surgery;
Classification
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(19):1517-1520
- CountryChina
- Language:Chinese
-
Abstract:
Liver injuries are the most common pediatric blunt abdominal injury, which is also the leading cause of trauma death in children.Currently, the severity of liver injuries has been universally classified according to criteria proposed by the American Association for the Surgery of Trauma (AAST). Within the past three decades, the management of liver injuries has evolved from obligatory operation to non-operative management in over 90% of cases.Moreover, the diagnosis and treatment of liver injuries in children is slightly different from that of adults because of special physiological and anatomical characteristics of children.Based on the World Society of Emergency Surgery (WSES) guidelines on the diagnosis and treatment of liver injuries, this study reviewed the development of children′s liver injuries, current diagnosis and treatment prospects and long-term treatment results in the combination with the physiological characteristics of children′s liver, aiming to improve the diagnosis and treatment, reduce mortality and complications of liver injuries in children.
