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钝性胃破裂:多种临床表现及文献复习。

Blunt gastric rupture: a plural clinical presentation and literature review.

机构信息

Surgery Department, Irmandade da Santa Casa de Misericórdia de São Paulo, Sao Paulo, Brazil

Faculdade de Ciências Médicas da Santa Casa de São Paulo, Sao Paulo, Brazil.

出版信息

BMJ Case Rep. 2021 Jun 24;14(6):e239942. doi: 10.1136/bcr-2020-239942.

Abstract

Blunt trauma is still the leading mechanism of trauma found in patients admitted to trauma centres worldwide. In these patients, the gastric injury is a very rare lesion, occurring in less than 2% of all blunt traumas. Besides the low incidence, gastric rupture mortality is high, which makes the diagnosis an essential step. Thus, this study aims to report two blunt gastric injuries, with different clinical features, prompting the discussion about the main features of clinical suspicion and diagnosis, besides the main therapeutic approaches. Therefore, this study can alert the medical community to the quick diagnosis and assertive therapy, saving patients of unwelcome endpoints.

摘要

钝性创伤仍然是全球创伤中心收治的患者中最主要的创伤机制。在这些患者中,胃损伤是一种非常罕见的病变,不到所有钝性创伤的 2%。除了发病率低之外,胃破裂的死亡率很高,这使得诊断成为一个必要的步骤。因此,本研究旨在报告两个具有不同临床特征的钝性胃损伤,引发对临床可疑和诊断的主要特征以及主要治疗方法的讨论。因此,本研究可以提醒医学界注意快速诊断和果断治疗,使患者避免不良结局。

相似文献

3
Gastric rupture from blunt abdominal trauma.钝性腹部创伤导致的胃破裂。
Injury. 2004 Mar;35(3):228-31. doi: 10.1016/s0020-1383(03)00212-2.
4
Transection of the stomach after blunt injury in the pediatric population.
J Pediatr Surg. 2007 Sep;42(9):1604-7. doi: 10.1016/j.jpedsurg.2007.04.038.
5
Gastric rupture from blunt abdominal trauma.钝性腹部创伤导致的胃破裂。
J Trauma. 1987 Aug;27(8):887-91. doi: 10.1097/00005373-198708000-00007.
9
[Stomach, duodenal and pancreatic injuries: diagnosis, surgical procedure].
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:617-23.

本文引用的文献

1
Organ injury scaling 2018 update: Spleen, liver, and kidney.《2018年器官损伤分级更新:脾脏、肝脏和肾脏》
J Trauma Acute Care Surg. 2018 Dec;85(6):1119-1122. doi: 10.1097/TA.0000000000002058.
2
A case report of blunt gastric perforation treated with endoscopic clip closure.
Medicine (Baltimore). 2017 May;96(18):e6774. doi: 10.1097/MD.0000000000006774.
4
Esophagogastric trauma in Scotland.苏格兰的食管胃创伤。
World J Surg. 2012 Aug;36(8):1779-84. doi: 10.1007/s00268-012-1602-4.
6
Blunt gastric injuries.钝性胃损伤
Am Surg. 2007 Sep;73(9):880-3.
8
Gastric traumatic injuries: CT findings.胃创伤性损伤:CT表现
Eur J Radiol. 2006 Sep;59(3):349-54. doi: 10.1016/j.ejrad.2006.04.028. Epub 2006 Jun 19.
9
Gastric rupture from blunt abdominal trauma.钝性腹部创伤导致的胃破裂。
Injury. 2004 Mar;35(3):228-31. doi: 10.1016/s0020-1383(03)00212-2.

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