Raina S, Machiedo G W
Arch Surg. 1980 May;115(5):660-1. doi: 10.1001/archsurg.1980.01380050082020.
Multiple perforations of the colon after compressed air injury occurred. The initial perforation did not become manifest until five days after the injury. This was repaired at laparotomy and a proximal colostomy was performed. Ten days after the first operation, a second laparotomy showed a second larger tear at the level of the peritoneal reflection. After a Hartmann procedure, the patient did well and was discharged from the hospital. This case emphasizes the need for repeated exploratory surgery of the abdomen if the initial postoperative course is not uneventful since full-thickness perforation of the colon may be delayed in its presentation.
压缩空气损伤后结肠出现多处穿孔。最初的穿孔直到受伤五天后才显现出来。在剖腹手术中对其进行了修复，并实施了近端结肠造口术。首次手术后十天，再次剖腹手术显示在腹膜反折水平处有一个更大的裂口。经过哈特曼手术，患者恢复良好并出院。该病例强调，如果术后初期病程不顺利，由于结肠全层穿孔的表现可能会延迟，因此需要对腹部进行反复探查手术。
