12例腹部钝性伤后小肠及肠系膜损伤的诊断与处理

Diagnosis and management of small bowel and mesentery injury following blunt abdominal trauma in 12 cases.

作者信息

Helmy Mohamed A, Alafifi Aser M, Ali Ahmed H

机构信息

Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.

出版信息

J Egypt Soc Parasitol. 2009 Apr;39(1):23-30.

PMID:19530607

Abstract

Over four years (April 2004 to December 2008) 12 patients with blunt small bowel and mesenteric injuries were treated at three hospi-tals dealing with trauma. Ten cases were victims of traffic accidents, of whom 70% wore seat belts. There were 11 small bowel injuries (4 full-thickness & 7 seromuscular) and 9 mesenteric injuries (3 with & 6 without a de-vascularized bowel segment). All were managed initially following the Advanced Trauma Life Support (ATLS) guidelines. Emergency room ultrasound was positive for blood in 5/7 cases (71%) and CT scan in 2/4 (50%). Diagnostic peritoneal lavage (DPL) was performed in one case and was positive for blood.

摘要

在四年期间（2004年4月至2008年12月），三家创伤治疗医院共收治了12例钝性小肠和肠系膜损伤患者。其中10例为交通事故受害者，70%系安全带。有11例小肠损伤（4例全层损伤和7例浆肌层损伤）和9例肠系膜损伤（3例伴有肠段缺血，6例无肠段缺血）。所有患者最初均按照高级创伤生命支持（ATLS）指南进行处理。急诊室超声检查在7例中有5例（71%）发现腹腔内有血，CT扫描在4例中有2例（50%）发现腹腔内有血。1例患者进行了诊断性腹腔灌洗（DPL），结果为阳性。