Emery Kathleen H
Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45227, USA.
Pediatr Radiol. 2002 Dec;32(12):892-5. doi: 10.1007/s00247-002-0779-3. Epub 2002 Jul 26.
Lap belt restraints in motor vehicle collisions have been associated with a variety of injuries, mainly bowel and lumbar spine. Cephalad positioning of the belt over the intended position across the anterior superior iliac spines (which typically occurs in younger children) is thought to be responsible for the observed bowel injuries. We report two pediatric patients, both restrained by lap belts in high-speed collisions, who suffered iliac wing fractures in addition to bowel injuries. Unexplained free peritoneal fluid was the sole CT finding in one patient (a teenage girl) who had a delay in diagnosis of bowel perforation. These cases illustrate the high frequency of bowel injury in pediatric patients with iliac wing fractures associated with lap belt use.
机动车碰撞事故中使用的安全带与多种损伤有关，主要是肠道和腰椎损伤。安全带在预定位置上方位于髂前上棘水平（这种情况通常发生在年幼儿童身上）被认为是导致观察到的肠道损伤的原因。我们报告了两名儿科患者，他们在高速碰撞事故中均使用了安全带，除肠道损伤外还发生了髂骨翼骨折。一名患者（一名十几岁女孩）在诊断肠道穿孔时出现延迟，其唯一的CT表现是不明原因的腹腔游离液体。这些病例表明，在与使用安全带相关的髂骨翼骨折的儿科患者中，肠道损伤的发生率很高。
