Barden B E, Maull K I
Trauma Center at Carraway, Carraway Methodist Medical Center, Birmingham, Ala, USA.
South Med J. 2000 Jan;93(1):33-5.
Blunt rupture of the colon follows a direct blow to the abdomen. Physical findings suggesting peritoneal irritation are usually present early in the postinjury period and lead to further evaluation and operation. In unresponsive patients, physical findings may be masked, diagnosis delayed, and outcome compromised. Perioperative antibiotics and early celiotomy with complete intra-abdominal exploration and primary repair of the colon injury usually provide excellent results.
结肠钝性破裂是腹部受到直接撞击所致。提示腹膜刺激的体格检查结果通常在受伤后早期出现，进而促使进一步评估和手术。对于无反应的患者，体格检查结果可能被掩盖，诊断延迟，预后也会受到影响。围手术期使用抗生素并早期进行剖腹术，对腹腔进行全面探查并对结肠损伤进行一期修复，通常能取得良好效果。
