Debeugny P, Canarelli L, Bonevalle M, Ricart J, Lahouel K
Clinique Chirurgicale Pédiatrique, CHU Lille.
Chir Pediatr. 1988;29(1):7-10.
16 cases of intestinal perforation following blunt abdominal trauma in children (14 boys and 2 girls from 3, 5 to 15 years old) are recorded in a 18 years period. We found 12 injuries of the small bowel, 2 of the colon and 2 of the duodenum. Except in the cases with hypovolemia or traumatic coma, the diagnosis is often made on abdominal physical findings and clinical evolution. Laboratory and radiological data were often useless. Then, surgical management was often delayed, principally in the most recent period with the non operative management of most pediatric blunt trauma. Simple closure (7 cases), resection and anastomosis (7 cases) or resection and double ostomy (2 cases) were performed. The result summarize 2 death and one complication (fistula). Complications do not increase with delay.
在18年期间记录了16例儿童钝性腹部创伤后肠穿孔病例（14名男孩和2名女孩，年龄从3.5岁至15岁）。我们发现小肠损伤12例，结肠损伤2例，十二指肠损伤2例。除了存在低血容量或创伤性昏迷的病例外，诊断通常基于腹部体格检查结果和临床病程。实验室和放射学数据往往并无用处。因此，手术治疗常常延迟，主要是在最近一段时间，因为大多数小儿钝性创伤采用非手术治疗。实施了单纯缝合（7例）、切除吻合（7例）或切除双造口术（2例）。结果总结为2例死亡和1例并发症（瘘）。并发症不会因延迟而增加。
