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儿童闭合性腹部创伤导致胆总管撕脱和胃淤滞。

Closed abdominal trauma in a child causing avulsion of the common bile duct and gastric stasis.

作者信息

Kernohan R M, Humphreys W G

出版信息

Injury. 1985 Jan;16(4):235-7. doi: 10.1016/s0020-1383(85)80007-3.

Abstract

A case of closed abdominal trauma causing complete transection of the supraduodenal common bile duct and gastric stasis in an 8-year-old boy is described. Surgical management involved re-establishment of biliary-enteric continuity and later gastric drainage to overcome gastric stasis. It is postulated that this child had sustained a traumatic vagotomy resulting in failure of gastric emptying. The literature does not report this complication of blunt abdominal injury.

摘要

本文描述了一例8岁男孩因闭合性腹部创伤导致十二指肠上段胆总管完全横断和胃潴留的病例。手术治疗包括重建胆肠连续性,随后进行胃引流以克服胃潴留。据推测,该患儿遭受了创伤性迷走神经切断术,导致胃排空失败。文献中未报道钝性腹部损伤的这种并发症。

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