Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University55910.18499/2070-478X-2010-3-4-357-361UnknownThe CT-scan place in diagnosing and medical tactic choose in case of the abdominal and retroperitoneal trauma in childrentsapna-ekat@rambler.rutsapna-ekat@rambler.ru24122010343573610405201604052016Copyright © 2010, ., .2010There is work experience of emergency surgical children hospital in perfection of abdominal trauma diagnosing in children presented. The perfection was done on the ground of implementation abdominal and retroperitoneal organs CT-scan, which was done in 98 cases. CT-scan of injuring areas was carried out in emergency (35,6%) and postponed (64,4%) order before and after contrast enchancement. Clinically disguised combined and multiple damages were discovered in 18 cases. Ascertainment of organ breakage degree was based on determination of injuring parenchyma part in per cent. Abdominal and retroperitoneal organs CT-scan in case of conservative treatment, laparascopic and open surgery affects markedly on completeness and authenticity of fi nal clinical diagnosis.abdominal traumachildrenCT-scanтравма животадетикомпьютерная томография[Isakov Iu.F., Dronov A.F. Detskaia khirurgiia: natsional'noe rukovodstvo. M. : GEOTAR-Media 2009: 478-485.][Karmazanovskii G.G., Viliavin M.Iu., Nikitaev N.S. Komp'iuternaia tomografiia pecheni i zhelchnykh putei. M.:Meditsina 1997: 140-145.][Komissarov I.A., Filippov D.V., Ialfimov A.N. i dr. Evoliutsiia diagnostiki i metodov lecheniia zakrytykh izolirovannykh povrezhdenii selezenki u detei. Vestnik khirurgii 2010; 169; 1: 85-88.][Sovakov I.A., Shchedrenok V.V., Moguchaia O.V. i dr. Problemy diagnostiki i lecheniia sochetannoi kranioabdominal'noi travmy. Materialy nauchno-prakticheskoi konferentsii «Polenovskie chteniia»: SPb. 2006; 58.][Sinenchenko G.I., Kurygin A.A., Bagnenko S.F. Khirurgiia ostrogo zhivota. Rukovodstvo. SPb.: ELBI-SPb. 2007: 345 – 398.][Catre M.G. Diagnostic peritoneal lavage versus computed tomography in blunt abdominal trauma: A Review of Prospective Studies. Can. J. Surg. 1995; 38: 117 -122.][Cox C.S., Geiger J.D., Liu D.C. et al. Pediatric Blunt Abdominal-Trauma - Role of Computed- Tomography Vascular Blush. J. Pediatr. Surg. 1997; 32; 8: 1196-1200.][Emery K.H., Babcock D.S., Borgman A.S. Splenic injury diagnosed with CT: US follow-up and healing rate in children and adolescents. Radiology 1999; 212: 515 – 518.][Feliciano D.V. Diagnostic modalities in abdominal trauma: peritoneal lavage, ultrasonography, computed tomography scanning, and arteriography. Surg. Clin. NA 1991; 71: 241- 255.][Kinnunen J., Kivioj A., Poussa K., Laasonen E.M. Emergency CT in blunt abdominal trauma of multiple injury patients. Acta Radiol. 1994; 35: 319 – 322.][Lynch A.M., Meza M.O., Newman B. Computed tomography grade of splenic injury is predictive of the time required for radiographic healing. J. Pediatr. Surg. 1997; 32; 8: 1093 –1095.][Michel L., Lacrosse M., Decanniere L., Rosiere A. et al. Spiral computed tomography with three-dimensional reconstruction for severe blunt abdominal traumas: a useful tool. Eur. J. Emerg. Med. 1997; 4: 87 – 93.][Rovin J.D., Alford B.A., McilhennyJ. Follow-Up abdominal Computed-Tomography after splenic trauma in children may not be necessary. Am. Surg. 2001; 67; 2: 127-130.][Sutyak J.P., Chiu W.C., D’Amelio L.F. et al. Computed tomography is inaccurate in estimating the severity of adult splenic injury. J. Trauma 1995; 39: 514-518.]