Thompson S R, Holland A J A
Department of Academic Surgery, The Children's Hospital at Westmead, The University of Sydney, Locked Bag 4001, Westmead, NSW 2145, Australia.
Injury. 2005 Sep;36(9):1029-33. doi: 10.1016/j.injury.2005.04.008.
The purpose of this study was to determine whether delay in the diagnosis of small bowel injury (SBI) affected the outcome of paediatric patients who required surgical interventions in the treatment of small bowel injuries. A retrospective chart review was performed on children with traumatic SBI requiring surgical management between January 2000 and December 2002. Diagnostic interval was defined as the time from presentation to operative treatment and delay was an interval of greater than 8 h. Thirteen patients were admitted for operative treatment of SBI. Nine cases were the result of motor vehicle trauma. The mean diagnostic interval for all patients was 9.1 h+/-7.4 h (range 0.6 h-22.5 h). Six patients had a diagnostic delay with a mean diagnostic interval of 15.5 h+/-5.5 h. There was no statistically significant difference found between the prompt and delayed diagnosis groups in terms of complications or length of hospital stay. Our finding of no difference between the prompt and delayed diagnosis groups and a diagnostic delay no longer than 22.5 h may suggest that our local methods of diagnosis and treatment assist in the prevention of unnecessary complications and death.
本研究的目的是确定小肠损伤（SBI）诊断延迟是否会影响需要手术干预治疗小肠损伤的儿科患者的治疗结果。对2000年1月至2002年12月期间因创伤性SBI需要手术治疗的儿童进行了回顾性病历审查。诊断间隔定义为从就诊到手术治疗的时间，延迟是指间隔时间大于8小时。13例患者因SBI接受手术治疗。9例是机动车创伤所致。所有患者的平均诊断间隔为9.1小时±7.4小时（范围0.6小时 - 22.5小时）。6例患者存在诊断延迟，平均诊断间隔为15.5小时±5.5小时。在并发症或住院时间方面，快速诊断组和延迟诊断组之间未发现统计学上的显著差异。我们发现快速诊断组和延迟诊断组之间无差异，且诊断延迟不超过22.5小时，这可能表明我们当地的诊断和治疗方法有助于预防不必要的并发症和死亡。
