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钝性腹部创伤致大量胃出血:病例报告。

Massive gastric bleeding from a blunt abdominal trauma: report of a case.

机构信息

Emergency and Critical Care Medical Center, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata 950-1197, Japan.

出版信息

Surg Today. 2010 Oct;40(10):963-6. doi: 10.1007/s00595-009-4169-4. Epub 2010 Sep 25.

Abstract

Blunt gastric injury (BGI) is a rare condition that accounts for 0.02%-1.7% of all blunt abdominal trauma cases. Blunt gastric rupture, which occurs in less than 40% of all BGI cases, presents unstable vital signs and symptoms of peritonitis due to massive peritoneal contamination. This article presents the case of a patient with BGI who did not present with symptoms of peritonitis in spite of presenting with persistent hypovolemic shock.

摘要

钝性胃损伤(BGI)是一种罕见的病症,占所有钝性腹部创伤病例的 0.02%-1.7%。在所有 BGI 病例中,不到 40%的病例会发生钝性胃破裂,由于大量腹膜污染,会出现不稳定的生命体征和腹膜炎症状。本文介绍了一例 BGI 患者,尽管持续出现低血容量性休克,但没有出现腹膜炎症状。

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