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腹部钝性创伤后小肠孤立性穿孔

[Isolated perforations of the small intestine following blunt trauma of the abdomen].

作者信息

Schmid J F, Petropoulos P, Hahnloser P

出版信息

Schweiz Med Wochenschr. 1981 May 30;111(22):821-2.

PMID:7244607
Abstract

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.

摘要

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。

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