Torba M, Hijazi S, Gjata A, Buci S, Madani R, Subashi K
G Chir. 2014 Jul-Aug;35(7-8):177-80.
Classically, seat belt syndrome appears with seat belt marks on the body, bowel perforations, and lumbar spine fractures. However the symptoms are not limited to those previously mentioned, and organ damage can vary greatly.
A 34-year-old female passenger, was admitted to our hospital after a motor vehicle crash. The physical examination revealed an ecchymosis across the chest, a transverse abdominal abrasion, and fractures of the left humerus, the left femur, and the right tibia. The laparotomy revealed multiple jejunal perforations, such as a seromuscular tear of the hepatic and splenic flexure of the colon and a defect of the abdominal wall. The primary suture of jejunum, resection with end to end anastomosis of jejunum, suture of a seromuscular tear of the colon, and primary repair of the abdominal wall defect procedures were performed. On the fifth day, the patient underwent osteosynthesis.
The abdominal pain in the polytraumatized patients with seat belt syndrome may be dominated by the pain caused by extra-abdominal injuries. The presence of a seat belt mark across the abdomen increases suspicion of abdominal injuries.
传统上，安全带综合征表现为身体上的安全带勒痕、肠穿孔和腰椎骨折。然而，其症状并不局限于上述这些，器官损伤差异可能很大。
一名34岁女性乘客在机动车碰撞事故后被送往我院。体格检查发现胸部有瘀斑、腹部横向擦伤以及左肱骨、左股骨和右胫骨骨折。剖腹探查发现多处空肠穿孔，如结肠肝曲和脾曲的浆肌层撕裂以及腹壁缺损。进行了空肠一期缝合、空肠端端吻合切除术、结肠浆肌层撕裂缝合以及腹壁缺损一期修复手术。在第五天，患者接受了骨固定术。
多发伤合并安全带综合征患者的腹痛可能以外伤性损伤引起的疼痛为主。腹部有安全带勒痕会增加对腹部损伤的怀疑。
