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意外创伤后孤立性空肠穿孔的延迟表现

Delayed Presentation of Isolated Jejunal Perforation Following Accidental Trauma.

作者信息

Manerikar Kshitij Arun, Verma Priyank, Ghatage Abhijit, Garg Shishir, Dholakia Mirat

机构信息

Resident, Department of Surgery, Dr. D.Y. Patil Medical College and Hospital Research Centre, Pune, Maharashtra, India.

Resident, Department of Paediatrics, Dr. D.Y. Patil Medical College and Hospital Research Centre, Pune, Maharashtra, India.

出版信息

J Clin Diagn Res. 2017 Mar;11(3):PD09-PD10. doi: 10.7860/JCDR/2017/25254.9556. Epub 2017 Mar 1.

DOI:10.7860/JCDR/2017/25254.9556
PMID:28511447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5427373/
Abstract

Blunt abdominal trauma can injure any abdominal organs which had significant morbidity and mortality in paediatric age group. It can lead to duodenal, jejunal or rather any bowel perforation. Isolated jejunal perforation still remains rare entity with less documented reports in specifically paediatric age group. We hereby present a case of three-year-old female child with isolated jejunal perforation, post history of fall from height. Early exploration and prompt surgical intervention led to successful outcome in this patient.

摘要

钝性腹部创伤可损伤任何腹部器官，在儿童年龄组中具有较高的发病率和死亡率。它可导致十二指肠、空肠或任何肠穿孔。孤立性空肠穿孔在儿童年龄组中仍然是一种罕见的情况，相关报道较少。我们在此报告一例3岁女童，因高处坠落史后出现孤立性空肠穿孔。早期探查和及时的手术干预使该患者获得了成功的治疗结果。

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本文引用的文献

1
Hollow viscus injury in children: Starship Hospital experience.儿童中空脏器损伤：星舰医院的经验
World J Emerg Surg. 2007 Jun 4;2:14. doi: 10.1186/1749-7922-2-14.
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Perforating small bowel injuries in children: influence of time to operation on outcome.儿童小肠穿孔伤：手术时间对预后的影响。
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Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience.相对较短的诊断延迟（<8小时）会导致钝性小肠损伤的发病和死亡：对来自多中心的198例患者手术干预时间的分析。
J Trauma. 2000 Mar;48(3):408-14; discussion 414-5. doi: 10.1097/00005373-200003000-00007.
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Injuries of the gastrointestinal tract from blunt trauma in children: a 12-year experience at a designated pediatric trauma center.儿童钝性创伤所致胃肠道损伤：一家指定儿科创伤中心的12年经验
J Trauma. 1999 Feb;46(2):234-40. doi: 10.1097/00005373-199902000-00005.
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Hollow visceral injury and blunt trauma.中空脏器损伤与钝性创伤。
J Trauma. 1998 Jul;45(1):69-75; discussion 75-8. doi: 10.1097/00005373-199807000-00014.
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Blunt duodenal rupture: a 6-year statewide experience.钝性十二指肠破裂：一项为期6年的全州范围经验。
J Trauma. 1997 Aug;43(2):229-32; discussion 233. doi: 10.1097/00005373-199708000-00004.
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Is computed tomography a useful adjunct to the clinical examination for the diagnosis of pediatric gastrointestinal perforation from blunt abdominal trauma in children?计算机断层扫描对于儿童钝性腹部创伤所致小儿胃肠穿孔的临床诊断检查而言是一种有用的辅助手段吗？
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Isolated jejunal perforation from nonpenetrating abdominal trauma.非穿透性腹部创伤所致孤立性空肠穿孔
Am J Emerg Med. 1993 Sep;11(5):473-5. doi: 10.1016/0735-6757(93)90087-r.
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