Schmid J F, Petropoulos P, Hahnloser P
Schweiz Med Wochenschr. 1981 May 30;111(22):821-2.
Ten cases of isolated perforation of the small intestine after blunt abdominal injury are presented. The clinical signs are initially poor, while X-ray and laboratory findings are of little value (only 1 patient with free air on abdominal plain X-ray; only 1 case with more than 10 000 leukocytes on admission). Progressive peritonitis is the only reliable indication for immediate surgery.
本文报告了10例钝性腹部损伤后小肠孤立性穿孔的病例。最初临床症状不明显，而X线和实验室检查结果价值不大（仅1例腹部平片显示有游离气体；仅1例入院时白细胞计数超过10000）。进行性腹膜炎是立即手术的唯一可靠指征。
