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[儿童创伤后空肠孤立性破裂。一种损伤机制复杂且诊断困难的情况]

[Isolated rupture of the jejunum after trauma in a child. A complex mechanism of injury with difficult diagnosis].

作者信息

Hallwirth U, Pomberger G, Pumberger W, Horcher E

机构信息

Klinische Abteilung für Kinderchirurgie, Universitätsklinik für Chirurgie, Universität Wien, Osterreich.

出版信息

Unfallchirurg. 2000 Aug;103(8):685-7. doi: 10.1007/s001130050602.

Abstract

Isolated rupture of the lower jejunum after blunt abdominal trauma is rare. The pediatric population, especially school-aged children, sustains these isolated injuries due to blunt trauma more frequently than adults. The lack of severe clinical symptoms in the beginning and therefore a delay in diagnosis are the main problems of these traumatic injuries. We report on a 7-year-old girl who sustained isolated rupture of the lower part of the jejunum secondary to blunt trauma. The purpose of this report is to illustrate the complex mechanism of injury. Additionally, we discuss the different ways of diagnosis with a review of the literature.

摘要

钝性腹部创伤后空肠下段孤立性破裂很少见。儿童群体,尤其是学龄儿童,因钝性创伤导致这些孤立性损伤的频率高于成人。一开始缺乏严重的临床症状,进而导致诊断延迟,是这些创伤性损伤的主要问题。我们报告一例7岁女孩,因钝性创伤导致空肠下段孤立性破裂。本报告的目的是阐述损伤的复杂机制。此外,我们结合文献回顾讨论不同的诊断方法。

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