CLINICAL PRESENTATION AND RADIOGRAPHIC IDENTIFICATION OF SMALL-BOWEL RUPTURE FOLLOWING BLUNT TRAUMA IN CHILDREN

被引：11

作者：

FORD, EG

SENAC, MO

机构：

[1] Departments of Surgery and Radiology, Children’s Hospital of Los Angeles, Department of Radiology, Children’s Hospital, San Diego, CA

来源：

PEDIATRIC EMERGENCY CARE | 1993年 / 9卷 / 03期

关键词：

TRAUMA; BLUNT INJURY; INTESTINAL RUPTURE; ABDOMINAL INJURY;

D O I：

10.1097/00006565-199306000-00004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The incidence of significant intraabdominal injuries from blunt trauma in children is low (1-8%); however, a missed intestinal laceration may result in a devastating, if not morbid, consequence. We present retrospective case studies of eight children with intestinal lacerations following blunt trauma. Each patient has a unique anatomic defect with misleading initial laboratory and radiographic studies. We did not rind a single laboratory or roentgenographic study to be consistently reliable for diagnosis of hollow viscus laceration. The combination of a high index of suspicion and serial abdominal examinations, coupled with subsequent comparative laboratory and radiographic evaluations, proved most reliable in identifying patients with intestinal injury.

引用

页码：139 / 142

页数：4

共 16 条

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