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在青少年中导致缺血性肠球炎的创伤性透视 - 病例报告
Zahin Shahriar1, Deluwar Hussen2, Saidul Mustofa1
1Dhaka Medical College, Bangladesh.
International journal of surgery case reports
|April 22, 2025
概括
创伤性透视 (TTMH) 很少见,难以诊断,通常在手术期间发现. 在创伤患者中,及时识别是预防诸如缺血性肠球炎等严重并发症的关键.
科学领域:
- 儿科手术 儿科手术
- 腹部创伤 腹部创伤
- 胃肠道手术 胃肠道手术
背景情况:
- 创伤性透视 (TTMH) 是一种极其罕见的损伤,具有显著的发病率和死亡率.
- TTMH可以导致危及生命的疾病,如缺血性肠球炎.
- 由于手术前的诊断挑战,在紧急腹腔切除术期间经常诊断出内部,包括跨腹腔类型.
研究的目的:
- 在一个儿科患者中呈现创伤性跨腹腔的病例.
- 突出TTMH的诊断挑战和管理.
- 强调早期诊断和创伤患者的干预的重要性.
主要方法:
- 一名13岁的女性出现了急性肠道阻塞症状,这是由于的腹部创伤造成的.
- 紧急探索性腹腔切除术揭示了一种带有显著缺血性大脑膜的跨腹腔.
- 手术治疗包括肠切除和双管静脉切除术,随后是静脉切除术逆转.
主要成果:
- 这名患者被诊断出患有因创伤性转介质的继发性缺血性肠球炎.
- 组织病理学证实了缺血性肠球炎的诊断.
- 患者经历了一次成功的康复和随后的骨髓切除术逆转.
结论:
- 创伤性跨腹腔是不常见的,由于不特定的临床表现,诊断很困难.
- 在创伤患者出现急性腹部症状时,需要高度的怀疑指数.
- 对于创伤幸存者来说,建议对警告标志和后续护理的患者教育.
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