DeMars J J, Bubrick M P, Hitchcock C R
Surgery. 1979 Oct;86(4):632-8.
Ten patients with duodenal perforation secondary to blunt abdominal trauma are reviewed. All 10 patients survived. Most of the injuries were related to motor vehicle accidents. Early recognition requires a high index of suspicion because preoperative signs and symptoms tend to be nonspecific and x-rays are usually not helpful. A careful exploration of the duodenum at laparotomy including both the Kocher maneuver and the Cattell-Braasch exposure is essential. Suitable methods of surgical repair are numerous, but those providing for restoration of normal gastrointestinal tract continuity are preferred.
回顾了10例腹部钝性创伤继发十二指肠穿孔的患者。所有10例患者均存活。大多数损伤与机动车事故有关。早期识别需要高度的怀疑指数，因为术前体征和症状往往不具特异性，X线检查通常也无帮助。剖腹手术时对十二指肠进行仔细探查，包括科克伦手法和卡特尔-布拉斯奇显露，至关重要。合适的手术修复方法众多，但那些能恢复正常胃肠道连续性的方法更受青睐。
