Trauma Esplênico: Classificação de acordo com WSES e Diretrizes para Pacientes Adultos e Pediátricos [Translation of Splenic trauma: WSES classification and guidelines for adult and pediatric patients]
Keywords:
Baço, trauma, adulto, pediátrico, classificação, diretrizes, embolização, cirurgia, não-operatório, conservador.Abstract
Trauma Esplênico: Classificação de acordo com WSES e Diretrizes para Pacientes Adultos e Pediátricos
As lesões esplênicas estão entre as mais frequentes relacionadas ao trauma. Atualmente, a classificação leva em conta a anatomia da lesão. A estratégia de tratamento ideal, no entanto, deveria levar em consideração, o perfil hemodinâmico, as alterações anatômicas e as lesões associadas. O tratamento de pacientes com trauma esplênico visa restaurar a homeostasia e a fisiologia dos indivÃduos, em especial, considerando os modernos métodos de abordagem do sangramento. Assim, o tratamento do trauma esplênico deve ser, em última instância, multidisciplinar e com base na fisiologia do paciente, na anatomia da lesão e nas lesões associadas. Finalmente, como o tratamento de adultos e crianças deve ser diferenciado, as crianças devem sempre, ser tratadas em centros especializados ao trauma pediátrico. Na verdade, a grande maioria dos pacientes pediátricos com trauma esplênico contusos, pode ser tratada por abordagem não operatória. Este artigo apresenta a classificação da World Society of Emergency Surgery (WSES) do trauma esplênico e as diretrizes do tratamento.
Source: this paper is an abridged translation of: Coccolini F, Montori G, Catena F, et al. Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World J Emerg Surg 2017;12:40, DOI 10.1186/s13017-017-0151-4.
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