腹部枪伤行吻合器吻合术后迟发性腔内出血：一例报告
Delayed Intraluminal Hemorrhage Following Stapled Anastomosis in Abdominal Gunshot Trauma: A Case Report.
作者信息
Scheese Daniel, Foushee Raisa, Krueger Emily, Bennett Jonathan
机构信息
Department of Acute Care Surgery Virginia Commonwealth University Richmond Virginia USA.
出版信息
Clin Case Rep. 2025 Aug 17;13(8):e70674. doi: 10.1002/ccr3.70674. eCollection 2025 Aug.
Abstract
Delayed intraluminal bleeding following stapled small bowel anastomosis, though rare, can result from trauma-induced coagulopathy, systemic inflammation, and technical factors like staple load selection or clamping time. In trauma, intestinal anastomosis technique should be tailored to tissue condition, with handsewn anastomosis considered when appropriate.
摘要
吻合器小肠吻合术后迟发性腔内出血虽罕见，但可能由创伤性凝血病、全身炎症以及诸如吻合器钉仓选择或夹闭时间等技术因素引起。在创伤情况下，肠道吻合技术应根据组织状况进行调整，必要时考虑手工缝合吻合。
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本文引用的文献
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The impact of stapled compared to handsewn repair on anastomotic outcomes in trauma patients: a systematic review and meta-analysis.吻合器缝合与手工缝合修复对创伤患者吻合口结局的影响：一项系统评价和荟萃分析。
ANZ J Surg. 2024 Apr;94(4):604-613. doi: 10.1111/ans.18925. Epub 2024 Mar 8.
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