The management of twenty-two children with blunt abdominal trauma was analyzed. Nineteen cases had intraabdominal injuries; involving the spleen in 7cases, the liver in 5, the pancreas in one and the bladder in one. There were five case multiple
intraabdominal organ injuries. Seventeen out of 19 patients were treated non-operatively, but one was operated upon later because of delayed bleeding. Thirteen patients required transfusion in the non operated group, the mean values of the
pediatric
Trauma Score (PTS) was 11.3. The mean lowest hemoglobulin(LHb) was 9.1 g/dL. The mean value of three cases with extraabdominal in juries were 9.0 and 8.3 g/dL respectively. The average amount of tranfusion was 17.3 ml/kg. In the operated group, 2
cases
were transfused an average of 139.8 ml/kg and their mean PTS was 5 and LHb was 6.6 g/dL. In one out of 16 non-operated cases, intrahepatic hematoma developed and but resolved conservatively. However, two out of 3 operated cases suffer
complications
such
as an intubation granuloma and an intraabdominal abscess with wound dehescence. In conclusion, non-operative managenent in child with blunt abdominal trauma was safe in Grade I and II solid organ injuries. The decision for operation should be
based
on
the hemodynamic stability after initial resuscitation including transfusion.
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