Progress in the classification, diagnosis and treatment of liver injuries in children / 中华实用儿科临床杂志

ABSTRACT

Liver injuries are the most common pediatric blunt abdominal injury, which is also the leading cause of trauma death in children.Currently, the severity of liver injuries has been universally classified according to criteria proposed by the American Association for the Surgery of Trauma (AAST). Within the past three decades, the management of liver injuries has evolved from obligatory operation to non-operative management in over 90% of cases.Moreover, the diagnosis and treatment of liver injuries in children is slightly different from that of adults because of special physiological and anatomical characteristics of children.Based on the World Society of Emergency Surgery (WSES) guidelines on the diagnosis and treatment of liver injuries, this study reviewed the development of children′s liver injuries, current diagnosis and treatment prospects and long-term treatment results in the combination with the physiological characteristics of children′s liver, aiming to improve the diagnosis and treatment, reduce mortality and complications of liver injuries in children.