Schimpl G, Schmidt B, Sauer H
Universitätsklinik für Kinderchirurgie Graz, Austria.
Eur J Pediatr Surg. 1992 Dec;2(6):341-4. doi: 10.1055/s-2008-1063474.
From a total of 734 children with a blunt abdominal trauma admitted to the hospital in the past 15 years, 21 patients (3%) sustained an isolated injury of the bowel (8 duodenal, 9 jejunal and 4 colon ruptures). All patients were laparotomized without a postoperative mortality. Accompanying abdominal injuries were seen only in duodenal ruptures (pancreatitis and one choledochal and pancreatic ruptures). In 85% the blunt violence was caused by bicycle accidents due to the handle bar, in one case by a car accident and in 3 children by falls. Accurate diagnosis was only possible regarding the history, the mechanism of the accident and an exact repeated clinical examination. Despite further investigations of blood chemistry laboratory findings, ultrasound and x-ray, no further confirmation of the diagnosis could be achieved. Complications, occurring in 14% of our patients, were not related to the trauma itself, but caused by a delayed diagnosis and therapy.
在过去15年里，共有734名腹部钝性创伤患儿入院，其中21例（3%）为单纯性肠损伤（十二指肠破裂8例、空肠破裂9例、结肠破裂4例）。所有患者均接受了剖腹手术，术后无死亡病例。仅在十二指肠破裂患者中发现了合并腹部损伤（胰腺炎、1例胆总管和胰腺破裂）。85%的钝性暴力是由自行车车把导致的事故引起的，1例由汽车事故引起，3例儿童因跌倒受伤。只有通过了解病史、事故机制以及进行精确的反复临床检查才能做出准确诊断。尽管对血液化学实验室检查结果、超声和X线进行了进一步检查，但仍无法进一步确诊。并发症发生率为14%，与创伤本身无关，而是由诊断和治疗延误所致。
