Martínez-Albaladejo M, Barnés-Sosa M, Hallal H
Servicio de Medicina Interna, Hospital Comarcal del Noroeste, Caravaca de la Cruz, Murcia.
Rev Esp Enferm Dig. 1995 Jul;87(7):531-3.
During blunt abdominal trauma the small bowel and/or its mesentery may be injured; if abdominal trauma occurs after compression by an incorrectly-applied seat belt, underlying viscera may be crushed between the vertebral and the seat belt; ischemia or infarction of the intestinal wall, and delayed fibrosis and stenosis may occur. We present a patient, operated on two months after blunt abdominal trauma, with small bowel obstruction secondary to post-traumatic intestinal fibrosis. Assuming that this condition is rarely suspected, a delayed diagnosis and treatment of these patients may occur.
在钝性腹部创伤中,小肠和/或其系膜可能会受伤;如果在不正确使用安全带造成压迫后发生腹部创伤,深层内脏可能会被挤压在脊柱和安全带之间;可能会出现肠壁缺血或梗死,以及延迟性纤维化和狭窄。我们报告一名患者,在钝性腹部创伤两个月后接受手术,患有创伤后肠纤维化继发的小肠梗阻。鉴于这种情况很少被怀疑,这些患者可能会出现诊断和治疗延迟。