Severely Injured Children Yonger than 12 Years

DOI 5 References
  • Inoue Sanshiro
    Department of Orthopedic Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Saita Yoshikazu
    Department of Orthopedic Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Kikuchi Naoshi
    Department of Orthopedic Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Akune Hironobu
    Department of Orthopedic Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Shirao Hidehito
    Department of Pediatrics, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Kinoshita Mariko
    Department of Pediatrics, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Tanaka Etsuko
    Department of Pediatrics, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Ochiai Hidenobu
    Department of Neurosurgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan
  • Uto Keiichi
    Department of Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan

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Other Title
  • １２歳以下の小児重度外傷の治療経験

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Abstract

We investigated severely injured children younger than 12 years old; their new injury severity score (NISS) was higher than 16 points. The subjects were eight children and they were all boys. Causes of injuries were traffic accidents in five children. The mean NISS was 35.8 (17 to 75) points. Four children died. Of the four who died, three died from trauma of the head or upper cervical spine. Of the four alive, three regained their former activity level. The remaining one could walk with a cane and orthosis and returned to school. Most severely injured children not only have fractures but also other injuries, such as head, chest, or abdominal regions. Polytrauma children require immediate treatment based on close cooperation between the different departments.

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