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机动车碰撞后创伤性非破坏性II级腹膜外直肠损伤的保守治疗

Conservative management of a traumatic non-destructive grade II extraperitoneal rectal injury following motor vehicle collision.

作者信息

Karadimos D, Aldridge O, Menon T

机构信息

Acute Surgical Unit, Department of General Surgery, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, Western Australia 6150, Australia.

出版信息

Trauma Case Rep. 2019 Jul 19;23:100224. doi: 10.1016/j.tcr.2019.100224. eCollection 2019 Oct.

Abstract

Rectal injuries are rare sequelae of blunt force abdominal trauma and are notorious for delayed recognition with resulting high morbidity and mortality. The management of traumatic colorectal injury is mired in old dogma and until recently mandated faecal diversion. Here we present a case of extraperitoneal rectal perforation successfully managed conservatively following blunt trauma.

摘要

直肠损伤是钝性腹部创伤罕见的后遗症,因其诊断延迟而声名狼藉,导致高发病率和死亡率。创伤性结直肠损伤的治疗深陷旧有观念,直到最近仍要求进行粪便转流。在此,我们报告一例钝性创伤后成功保守治疗的腹膜外直肠穿孔病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01a3/6656698/7c852ccacac8/gr1.jpg

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