Abstract:

Purpose: By reverse screening of patients diagnosed with cough liver trauma from December 2006 to December 2016, the aim is to evaluate the changes in the diagnosis, tracking and treatment process and demographic, clinical and laboratory applications applied to organ injuries. Methods: 190 children who were traced and treated due to a liver trauma in our clinic were included in the study. In addition to the demographic data of children, the mechanism of pre-treatment injury, the degree of injury by radiological methods, the form of treatment, the length of stay in intensive care, accompanying injury, pediatric trauma scores were evaluated. Results: 73.2% of patients (139) were male, 49.5% (94) 4-8 years old, 21.6% (41) 0-3 years old, and 57.6% of patients were traumatic. In 23.7 percent of patients, grade 3, grade 21,4 percent, grade 4, 15.3 percent, grade 2 and 10.5 percent, grade 1 injuries were detected. It was found that there was a statistically significant difference between the deposit and deduction average for ALT and AST (p<0,001). The ALT deposit average was 393.12 U/L, while the discharge value was 172.14 U/L, and the AST deposit average was 582.85 U/L, while the discharge rate was 179.89 U/L. There is no statistically significant difference between the form of the injury and age, gender and organ damage. The result: trauma occurring with causes such as falling from the height, traffic accidents, in the pediatric group can often be treated with conservative methods. In pediatric groups, the development of trauma, especially due to the fall from the high, is of great importance to provide education to families and safe playground in minimizing trauma-related mortality.

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