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Gastric perforation following blunt abdominal trauma.

作者信息

Aboobakar M R, Singh J P, Maharaj K, Mewa Kinoo S, Singh B

机构信息

Department of Surgery and King Edward VIII Hospital, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Trauma Case Rep. 2017 Jul 26;10:12-15. doi: 10.1016/j.tcr.2017.07.001. eCollection 2017 Aug.

DOI:10.1016/j.tcr.2017.07.001
PMID:29644265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5887068/
Abstract

Gastric perforations following blunt abdominal trauma are rare, accounting for < 2% of all blunt abdominal injuries. Isolated blunt gastric ruptures are uncommon. They are usually associated with other solid visceral injuries. Injuries to the stomach are associated with the highest mortality of all hollow viscus injuries. Severity of the injury, timing of presentation and presentation following the last meal as well as concomitant injuries are important prognostic factors. Imaging modalities may be unreliable in making a diagnosis and thus clinical vigilance is mandatory. We present a patient with gastric perforation following blunt abdominal trauma and review the literature.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/5887068/f148ff03d95b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/5887068/2faaddf558ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/5887068/f148ff03d95b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/5887068/2faaddf558ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/5887068/f148ff03d95b/gr2.jpg

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本文引用的文献

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Advances in abdominal trauma.腹部创伤的进展
Emerg Med Clin North Am. 2007 Aug;25(3):713-33, ix. doi: 10.1016/j.emc.2007.06.002.
2
Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial.当前的诊断方法在钝性小肠穿孔伤的诊断中缺乏敏感性:来自东部多机构重伤研究(EAST multi-institutional HVI trial)275557例创伤入院病例的分析
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隐匿性破裂:小儿钝性创伤中胃穿孔的隐患:一例报告
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The Diagnosis and Management of Pediatric Blunt Abdominal Trauma-A Comprehensive Review.小儿钝性腹部创伤的诊断与管理——全面综述
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Gastric perforation after blunt abdominal trauma: first case report in Argentina.
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Contrast study after gastric repair: a review of incidence, outcomes and risk factors at an adult level 1 trauma center.胃修复术后的对比研究:成人 1 级创伤中心的发病率、结果和危险因素的回顾。
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Gastric rupture following multiple blunt trauma.多处钝性创伤后胃破裂
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Int J Surg Case Rep. 2020;77:862-865. doi: 10.1016/j.ijscr.2020.11.031. Epub 2020 Nov 25.
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Management of pancreatic injuries.胰腺损伤的管理
Curr Probl Surg. 1999 May;36(5):325-419. doi: 10.1016/s0011-3840(99)80003-3.
5
Impact of stomach and colon injuries on intra-abdominal abscess and the synergistic effect of hemorrhage and associated injury.胃和结肠损伤对腹腔内脓肿的影响以及出血与相关损伤的协同作用。
J Trauma. 1998 Oct;45(4):649-55. doi: 10.1097/00005373-199810000-00001.
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Organ injury scaling. VI: Extrahepatic biliary, esophagus, stomach, vulva, vagina, uterus (nonpregnant), uterus (pregnant), fallopian tube, and ovary.
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Gastric rupture from blunt trauma. A plea for minimal diagnostics and early surgery.钝性创伤所致胃破裂。呼吁进行最少的诊断并尽早手术。
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