Biomeditsina va amaliyot jurnali, 2022 №6
Subject of the article
THE INFLUENCE OF FREE ABDOMINAL FLUID ON THE SELECTION OF TREATMENT IN CHILDREN WITH BLUNT ABDOMINAL INJURY (58-63)
Authors
Ergashev Sh. Nasriddin, Turakulov Sh. Zoirjon, Mirzakarimov Kh Bakhrom, Isakov Z. Nuriddin
Institution
Andijan State Medical Institute
Abstract
Abdominal injury remains one of the most urgent problems in surgery, traumatology and resuscitation. At present, abdominal wounds make up 1.5-4.4% of all injuries. The structure of injuries varies due to accidents, falls from a height, and natural disasters. But in recent years, criminalization of society has taken an important place in this structure. Given the presence of complex cases that still lead to some complications in diagnosis and treatment, this problem remains very relevant
Key words
children: blunt trauma, free fluid in the abdominal cavity, abdominal injury.
Literature
Brownstein MR, Bunting T, Meyer AA, Fakhry SM. Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma. J Trauma. 2000;48(3):402-407.doi: 10.1016/S0735-6757(01)80141-8. 2. Keller MS. Blunt injury to solid abdominal organs. Semin Pediatr Surg. 2004;13(2):106-111. doi: 10.1053/j.sempedsurg.2004.01.006. 3. Hulka F, Mullins RJ, Leonardo V, et al. Significance of peritoneal fluid as an isolated finding on abdominal computed tomographic scans in pediatric trauma patients. J Trauma. 1998;44(6):1069-1072. 4. Federle MP, Jeffrey RB, Jr. Hemoperitoneum studied by computed tomography. Radiology. 1983;148(1):187-192. doi: 10.1148/radiology.148.1.6856833. 5. Wegner S, Colletti JE, Van Wie D. Pediatric blunt abdominal trauma. Pediatr Clin North Am. 2006;53(2):243-256.doi: 10.1016/j.pcl.2006.02.002. 6. Shah NB, Platt SL. ALARA: is there a cause for alarm? Reducing radiation risks from computed tomography scanningin children. Curr Opin Pediatr. 2008;20(3):243-247.doi: 10.1097/MOP.0b013e3282ffafd2. 7. Banz VM, Butt MU, Zimmermann H, et al. Free abdominal fluid without obvious solid organ injury upon CT imaging: an actual problem or simply overdiagnosing? J Trauma Manag Outcomes. 2009;3:10. doi:10.1186/1752-2897-3-10. 8. Sivit CJ, Taylor GA, Bulas DI, et al. Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 1992;182(3):723-726.doi: 10.1148/radiology.182.3.1535886. 9. Taylor GA, Fallat ME, Eichelberger MR. Hypovolemic shock in children: abdominal CT manifestations. Radiology. 1987;164(2):479-481. doi: 10.1148/radiology.164.2.3602389. 10. Holmes JF, London KL, Brant WE, Kuppermann N.Isolated intraperitoneal fluid on abdominal computed tomography in children with blunt trauma. Acad EmergMed. 2000;7(4):335-341. doi: 10.1111/j.1553-2712.2000.tb02232.x. Levine CD, Gonzales RN, Wachsberg RH, Ghanekar D.CT findings of bowel and mesenteric injury. J Comput Assist Tomogr. 1997;21(6):974-979. doi: 10.3348/jkrs.1995.33.4.569. 12. Beierle EA, Chen MK, Whalen TV, Doolin EJ. Free fluid on abdominal computed tomography scan after blunt trauma does not mandate exploratory laparotomy in children. J Pediatr Surg. 2000;35(6):990-992; discussion 993. doi: 10.1053/jpsu.2000.6950. 13. Levine CD, Patel UJ, Wachsberg RH, et al. CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol.1995;164(6):1381-1385. doi: 10.2214/ajr.164.6.7754877. 14. Rodriguez C, Barone JE, Wilbanks TO, et al. Isolated ree fluid on computed tomographic scan in blunt abdominal trauma: a systematic review of incidence and management. J Trauma. 2002;53(1):79-85. doi: 10.1097/00005373-200207000-00016. 15. Gonser-Hafertepen LN, Davis JW, Bilello JF, et al. Isolated free fluid on abdominal computed tomography in blunt trauma: watch and wait or operate? J Am Coll Surg. 2014;219(4):599-605. doi: 10.1016/j. jamcollsurg.2014.04.020. 16. Lansink KW, Cornejo CJ, Boeije T, et al. Evaluation of the necessity of clinical observation of highenergy trauma patients without significant injury after standardized emergency room stabilization. J Trauma. 2004;57(6):1256-1259. doi: 10.1097/01.TA.0000145075.51395.C9. 17. Mirdjalol Dehkanovich Djuraev, Nodir Maxammatkulovich Rahimov, Mavluda Nigmatovna Karimova, & Shakhnoza Shavkatovna Shakhanova. (2021). Current Views On The Pathogenesis Of The Parietal-Visceral Pathway Of Gastric Cancer Metastasis. The American Journal of Medical Sciences and Pharmaceutical Research, 3(03), 94–103. https://doi.org/10.37547/TAJMSPR/Volume03Issue03-14 18. Rizaev J. A., Shamsiev J. A., Zayniev S. S. Ways to Optimise Patient Outcomes and Improve the Quality of Medical Care in Surgically Correctable Congenital Malformations in Samarkand //European Journal of Research Development and Sustainability. – 2021. – Т. 2. – №. 3. – С. 45-48. 19. Robinson WP, Ahn J, Stiffler A, et al. Blood transfusion is an independent predictor of increased mortality in nonoperatively managed blunt hepatic and splenic injuries. J Trauma. 2005;58(3):437-444. doi: 10.1097/01. TA.0000153935.18997.14. 20. Rizaev J. A., Shamsiev J. A., Zayniev S. S. Ways to Optimise Patient Outcomes and Improve the Quality of Medical Care in Surgically Correctable Congenital Malformations in Samarkand //European Journal of Research Development and Sustainability. – 2021. – Т. 2. – №. 3. – С. 45-48. 21. Турсунов О. М. и др. Интервенционные чрескожные технологии в лечении больных с синдромом механической желтухи //Журнал биомедицины и практики. – 2022. – Т. 7. – №. 1