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