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一例腹部（安全带）损伤后迟发性盲肠穿孔病例

A Case of Delayed Cecal Perforation After Abdominal (Seat Belt) Injury.

作者信息

Okeke Raymond I, Lok Justin, Keranalli Prajwal, Chaudhry Maaria, Saliba Christian, Herman Richard, Scherer L R Tres, Miyata Shin, Blewett Christopher

机构信息

General Surgery, Saint Louis University School of Medicine, Saint Louis, USA.

Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital, Saint Louis, USA.

出版信息

Cureus. 2022 Aug 11;14(8):e27901. doi: 10.7759/cureus.27901. eCollection 2022 Aug.

DOI:10.7759/cureus.27901
PMID:36110435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9464108/
Abstract

Seatbelts have reduced the number of fatal head, facial, and chest injuries. They have, however, introduced a set of injuries comprising abdominal wall bruising, Intra-abdominal injuries, and lumbar spine fractures collectively termed the seat belt syndrome. Surgical repair is the treatment for encountered bowel injuries. We present a case of delayed bowel perforation following presentation with signs of seat belt trauma identifying a decisional dilemma in the surgical management of serosal tears with no apparent signs of perforation.

摘要

安全带减少了头部、面部和胸部致命伤的数量。然而，它们也引发了一系列损伤，包括腹壁瘀伤、腹腔内损伤和腰椎骨折，统称为安全带综合征。手术修复是治疗所遇到的肠道损伤的方法。我们报告一例在出现安全带创伤迹象后延迟肠穿孔的病例，该病例在处理没有明显穿孔迹象的浆膜撕裂的手术管理中存在决策困境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/53101ae123d6/cureus-0014-00000027901-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/cc86787fbd65/cureus-0014-00000027901-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/7173507c550e/cureus-0014-00000027901-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/ea94116f6bec/cureus-0014-00000027901-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/88ad1fcfe3e3/cureus-0014-00000027901-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/53101ae123d6/cureus-0014-00000027901-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/cc86787fbd65/cureus-0014-00000027901-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/7173507c550e/cureus-0014-00000027901-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/ea94116f6bec/cureus-0014-00000027901-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/88ad1fcfe3e3/cureus-0014-00000027901-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa56/9464108/53101ae123d6/cureus-0014-00000027901-i05.jpg

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Facility of Origin Predicts Mortality After Colonic Perforation.原发部位预测结直肠穿孔患者的死亡率。
Am Surg. 2021 Aug;87(8):1327-1333. doi: 10.1177/0003134820971623. Epub 2020 Dec 19.
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Laparoscopy Compared With Laparotomy for the Management of Pediatric Blunt Abdominal Trauma.
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Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature.钝性腹部创伤后迟发性小肠穿孔：一例报告并文献复习
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Laparoscopy decreases the laparotomy rate for hemodynamically stable patients with blunt hollow viscus and mesenteric injuries.对于血流动力学稳定的钝性中空脏器和肠系膜损伤患者，腹腔镜检查可降低剖腹手术率。
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