Rouse T, Collin J, Daar A
Injury. 1984 Sep;16(2):131-3. doi: 10.1016/s0020-1383(84)80017-0.
Isolated injury to the intestine due to blunt abdominal trauma is an uncommon event. Since the haemodynamic disturbance which accompanies injury of the liver or spleen is absent the initial symptoms and signs may be very slight, or obscured by injuries of the abdominal wall, musculoskeletal or nervous systems. We present four cases which illustrate pitfalls in management. A high index of suspicion is essential if morbidity and mortality are to be reduced to a minimum. Abdominal radiography and peritoneal lavage are useful aids when diagnosis is in doubt.
钝性腹部创伤导致的孤立性肠损伤是一种罕见的情况。由于不存在伴随肝或脾损伤的血流动力学紊乱，最初的症状和体征可能非常轻微，或被腹壁、肌肉骨骼或神经系统损伤所掩盖。我们呈现4例病例来说明管理中的陷阱。如果要将发病率和死亡率降至最低，高度的怀疑指数至关重要。当诊断存疑时，腹部X线摄影和腹腔灌洗是有用的辅助手段。
