儿童外伤性十二指肠破裂的处理方法--病例系列。

IF 2 3区 医学 Q2 PEDIATRICS
Zhen Cheng, Yuelan Zheng, Jiahui Gao, Zhouguang Wu, Qi Feng, Bin Wang
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引用次数: 0

摘要

背景:外伤性十二指肠破裂非常罕见,仅占所有钝性腹部创伤的 2-10%。本研究旨在调查儿童外伤性十二指肠破裂的诊断和治疗经验:这是一项回顾性病例系列研究。方法:这是一项回顾性病例系列研究,收集了2013年1月至2023年1月期间在我院接受手术治疗的3名外伤性十二指肠破裂患儿的临床数据。对纳入患者的人口学特征、创伤机制、体格检查、辅助检查、手术时间和方案、术后管理和随访进行了描述。总结此类损伤早期诊断和治疗的重要性:研究共纳入了 3 名因腹部外伤导致十二指肠破裂的患儿(1 男 2 女),平均年龄为 8.2 岁(2.75-13.25 岁)。其中一名患儿是被重物砸伤。另外两名儿童则是腰椎骨折和安全带征兆。三名患者均在 24 小时内接受了急诊手术,术后恢复良好。随访期间未发现相关并发症:结论:十二指肠破裂是一种罕见但致命的疾病。结论:十二指肠破裂是一种罕见的致命疾病,早期发现并积极进行腹部探查可降低腹部钝伤患儿,尤其是有安全带征的患儿的相关并发症发生率和死亡率。同时,规范的术后管理对治愈患儿意义重大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of traumatic duodenal rupture in children-case series.

Background: Traumatic duodenal rupture is rare which accounts for only 2-10% of all Blunt abdominal trauma. The purpose of this study was to investigate the experience of diagnosis and treatment of traumatic duodenal rupture in children.

Methods: This was a retrospective case series study. Clinical data were collected from three children suffering from a traumatic duodenal rupture who received surgical treatment in our hospital from January 2013 to January 2023. Demographic characteristics, trauma mechanism, physical examination, auxiliary examination, operation timing and plan, postoperative management and follow-up of included patients were described. Summarize the importance of early diagnosis and treatment of this type of injury.

Results: Three children (1 male and 2 females) with duodenal rupture due to traumatic abdominal injury were included in the study, with average age of 8.2 years (range 2.75-13.25 years). Among them, One child was injured by heavy objects. The other two children had lumbar fracture and seat belt sign. All three patients underwent emergency operation within 24 h, and recovered well after surgery. No related complications seen during follow-up.

Conclusions: Duodenal rupture is a rare but fatal disease. Early identification and active abdominal exploration can reduce the incidence of related complications and mortality in children with blunt abdominal injury, especially those with seat belt sign. Simultaneously, the standardized postoperative management is significant for the cure of children.

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来源期刊
BMC Pediatrics
BMC Pediatrics PEDIATRICS-
CiteScore
3.70
自引率
4.20%
发文量
683
审稿时长
3-8 weeks
期刊介绍: BMC Pediatrics is an open access journal publishing peer-reviewed research articles in all aspects of health care in neonates, children and adolescents, as well as related molecular genetics, pathophysiology, and epidemiology.
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