Evaluación de la ecografía abdominal del trauma cerrado en niños
Keywords:
TRAUMA ABDOMINAL CERRADO/ultrasonidoAbstract
Se realizó un estudio observacional descriptivo con el objetivo de evaluar los resultados del ultrasonido diagnóstico a todo niño menor de 15 años con trauma abdominal cerrado atendido en el Hospital Provincial Docente “Dr. Antonio Luaces Iraola” de la Provincia de Ciego de Ávila, en el periodo comprendido entre Octubre del 2003 a Septiembre del 2006. Conformándose una muestra de 87 pacientes de los cuales 60 eran del sexo masculino y 27 del femenino. 81 de los niños fueron atendidos en las primeras 6 horas de la ocurrencia del trauma. Los órganos más afectados fueron el Bazo, el Hígado y el Riñón, mientras que la imagen ultrasonográfica más frecuentemente encontrada correspondió al líquido libre en cavidad, representando el 72.7 % del total de los casos con lesión demostrada. En el 58.6 % de los pacientes fue necesario realizar un solo ultrasonido y en 16 niños (18.4 %) se realizaron más de 5 ecografías durante su seguimiento. El 81.8 % de los casos con lesión abdominal demostrada se pudo tratar de forma conservadora. Concluyéndose que el uso del ultrasonido resultó un método seguro y útil para el diagnóstico y seguimiento del paciente pediátrico con traumatismo abdominal cerrado.Downloads
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References
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9. Salera D, Argalia G, Giuseppetti GM. Screening US for blunt abdominal trauma: a retrospective study. Radiol Med (Torino). 2005; 110(3): 211-220.
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13. Tas F, Ceran C, Atalar MH, Bulut S, Selbes B, Isik AO. The efficacy of ultrasonography in hemodinamically stable children with blunt abdominal trauma: a prospective comparison with computed tomography. Eur J Radiol. 2004; 51(1): 91-96.
14. Nural MS, Yardan T, Guven H, Baydin A, Bayrak IK, Kati C. Diagnostic value of ultrasonography in the evaluation of blunt abdominal trauma. Diagn Intev Radiol. 2005; 11(1): 41-44.
15. Rathaus V, Zissin R, Werner M. Minimal pelvic fluid in blunt abdominal trauma in children: the significance of this sonographic finding. J Pediatr Surg. 2001; 36(9): 1387-1389.
16. Somoza A. Resultado del manejo conservador de los traumatismos abdominales pediátricos no penetrantes. Rev Cir Infant. 2001; 11(4): 205-210.
2. Catan F, Altamirano C, Salas C. Ecografía realizada por cirujanos en el manejo de pacientes con trauma. Rev Med Chile. 2002; 130(8): 892-896.
3. Baker MJ. Trauma Ultrasound. Emerg Med. 2002; 31: 185-194.
4. Howry DH, Bliss WR. Ultrasonic visualization of soft tissues of the body. J Lab Clin Med. 2003; 40: 579-584.
5. Salomone JA. Abdominal trauma blunt. J Med. 2003; 2(5): 5-8.
6. Richards JR, Knopf NA, Wang L, McGahan JP. Blunt Abdominal Trauma in Children: Evaluation with Emergency US. Radiology. 2002; 222: 749-754.
7. Godbole P, Stringer MD. Splenectomy alter paediatric trauma: could more spleens be saved? Ann Coll Surg Engl. 2002; 84(2): 106-108.
8. Walcher F, Weinlich M, Conrad G. Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg. 2006; 93(2): 238-242.
9. Salera D, Argalia G, Giuseppetti GM. Screening US for blunt abdominal trauma: a retrospective study. Radiol Med (Torino). 2005; 110(3): 211-220.
10. Barnes PM, Norton CM, Dunstan FD, Kemp AM, Yates DW, Sibert JR. Abdominal injury due to child abuse. Lancet. 2005; 366(9481): 234-235.
11. Baeza C, García LM, González EF. Perforación duodenoyeyunal por percance en bicicleta. Bol med Hosp Infant Mex. 2000: 57(7): 390-395.
12. Basile G, Di Mari P Chiarenza S, Magri A, Primus A, Catania V, Buffone A. Surgical treatment of abdominal truma in pediatric age. Ann Ital Chir. 2005; 76(1): 57-63.
13. Tas F, Ceran C, Atalar MH, Bulut S, Selbes B, Isik AO. The efficacy of ultrasonography in hemodinamically stable children with blunt abdominal trauma: a prospective comparison with computed tomography. Eur J Radiol. 2004; 51(1): 91-96.
14. Nural MS, Yardan T, Guven H, Baydin A, Bayrak IK, Kati C. Diagnostic value of ultrasonography in the evaluation of blunt abdominal trauma. Diagn Intev Radiol. 2005; 11(1): 41-44.
15. Rathaus V, Zissin R, Werner M. Minimal pelvic fluid in blunt abdominal trauma in children: the significance of this sonographic finding. J Pediatr Surg. 2001; 36(9): 1387-1389.
16. Somoza A. Resultado del manejo conservador de los traumatismos abdominales pediátricos no penetrantes. Rev Cir Infant. 2001; 11(4): 205-210.
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Laureiro Toledo TM, García Marcial A, Bustelo Aguila J, González Cobas MI. Evaluación de la ecografía abdominal del trauma cerrado en niños. Mediciego [Internet]. 2007 Apr. 12 [cited 2026 Feb. 4];13. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/2793
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