导致闭环小肠阻塞的跨口:在儿科粗腹部创伤后的延迟表现
1General Surgery, Toowoomba Hospital, Toowoomba, Queensland, Australia blanche.lee@health.qld.gov.au.
BMJ case reports
|January 25, 2025
概括
内部,虽然在儿童中很少见,但在重创伤后可以导致急性腹部. 及时诊断和手术修复对于预防肠道窒息和缺血至关重要,正如跨口的病例所示.
科学领域:
- 儿科手术 儿科手术
- 腹部成像 腹部成像 腹部成像
- 创伤外科 手术 创伤外科
背景情况:
- 在儿科患者中,内部是不常见的.
- 的腹部创伤可以导致内部.
- 由于肠道窒息和缺血的高风险,迅速识别是至关重要的.
研究的目的:
- 突出考虑儿科患者急性腹部创伤后的内的重要性.
- 报告一个年轻女孩经受重创伤后发生的跨口 (TOH) 病例.
- 强调内部的诊断和治疗方法.
主要方法:
- 一个年轻的女性患者的病例报告,在机动车事故发生3周后出现了急性腹痛.
- 计算机断层扫描 (CT) 扫描以评估小肠阻塞和缺血.
- 紧急的手术干预和腹腔镜缩小跨口.
主要成果:
- CT扫描显示了闭环小肠阻塞与缺血特征,暗示内部.
- 手术检查证实了含有缺血但活性的小肠的跨口.
- 通过 laparoscopic 的降低 TOH 的成功执行.
结论:
- 在儿童中,随着的腹部创伤后,可以发生跨口.
- CT成像对于诊断呈小肠阻塞形式的内部来说至关重要.
- 腹腔镜手术为儿科患者的跨口带提供了一种成功的治疗选择.
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