小儿胃肠道损伤(附42例分析)

Gastrointestinal injuries in children:analysis of 42 patients

报告42例小儿胃肠道损伤，损伤的部位及类型有胃穿孔2例，十二指肠穿孔断裂2例，十二指肠血肿3例，小肠穿孔、挫裂伤8例，小肠血肿6例，结肠穿孔4例，结肠血肿6例，直肠损伤15例。42例病儿中有16例（38％）伴有其它脏器损伤，有11例（26％）出现并发症。摔倒后被异物扎伤、磕伤及交通事故为小儿胃肠道损伤的主要原因（28例，66．7％）。小儿胃肠道损伤的诊断主要依靠腹部查体、腹穿、X线及CT检查。

Gastrointestinal injuries were noted in 42 children. The sites of injury were thestomach(2), duodenum (5), jejunum and ileum (14), colon (10) and anus (15). Types of injury included 2 gastric perforation, 2 duodenum perforation, 3 dudenum hematomas, 4 colon perforation, 6 colon hematomas and 15 anus injuries. 28 associated injuries occured in 16 children, 13complication occurred in 11 patients (26%). Falls and traftic accidents were the most frequentcauses of gastrointestinal injury. The diagnosis of children gastrointestinal injuries depends on abdomenal check, X-ray and CT.