Sasaki L S, Mittal V K
Department of Surgery, Louisiana State University Medical Center at Shreveport, USA.
J Trauma. 1995 Sep;39(3):602-4. doi: 10.1097/00005373-199509000-00036.
Direct kinetic energy transfer from the path of a bullet may cause intraperitoneal injury even though the path of the bullet remains extraperitoneal. A 45-year-old man sustained a single through-and-through gunshot wound to the abdomen. The path of the bullet appeared superficial but clinically the patient had an acute abdomen. An exploratory laparotomy revealed no penetration of the peritoneum, but did reveal a perforation and contusion to the jejunum. To our knowledge this is the first reported case of a penetrating extraperitoneal gunshot wound with a blast injury to the small bowel.
即使子弹路径仍在腹膜外，但子弹路径的直接动能传递仍可能导致腹腔内损伤。一名45岁男性腹部遭受一处贯通性枪伤。子弹路径看似表浅，但临床上患者有急腹症表现。剖腹探查显示腹膜未穿透，但发现空肠有一处穿孔和挫伤。据我们所知，这是首例有报道的穿透性腹膜外枪伤伴小肠爆震伤的病例。
