Cabano F, Resta E, De Medici A
Clinica Chirurgica II, IRCCS Policlinico San Matteo, Pavia.
Minerva Chir. 1993 May 15;48(9):471-7.
Four patients operated on at the Clinica Chirurgica II of IRCCS--Policlinico San Matteo of Pavia for trauma involving the colon were reviewed. All were males and their ages ranged from 14 to 84 years (mean 43.5 years). Injuries of the colon were found on 9 per cent of all patients operated on for abdominal penetrating injuries and on 6 per cent of patients with blunt injuries. The authors recall the pathogenetic mechanisms, clinical patterns, some grading systems proposed for quantifying the severity of the lesion. Our experience has shown that in blunt trauma the prognosis is worse because there were many associated organ injuries. These condition the early mortality for shock and exsanguination.
回顾了4例在帕维亚圣马泰奥综合医院IRCCS第二外科诊所接受结肠创伤手术的患者。所有患者均为男性，年龄在14至84岁之间（平均43.5岁）。在所有接受腹部穿透伤手术的患者中，9%发现有结肠损伤；在钝性伤患者中，6%发现有结肠损伤。作者回顾了致病机制、临床模式以及一些为量化损伤严重程度而提出的分级系统。我们的经验表明，在钝性创伤中，预后较差，因为存在许多合并器官损伤。这些情况导致了因休克和失血引起的早期死亡率。
