Blunt abdominal trauma from horse kicks

Pediatric blunt abdominal trauma.

Blunt pediatric trauma is a major threat to the health and well-being of children. Nationwide, many practitioners care for children who face this issue. Some key principles related to the evaluation and management of these children are elucidated in this article.

Blunt abdominal trauma.

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79 - Blunt Abdominal Trauma

greater diagnostic and therapeutic challenges. The mechanism of blunt trauma may range from high-speed injuries to minor falls or direct blows to the abdomen. Motor vehicle collisions are responsible for approximately 75%, blows to the abdomen for approximately 15%, and falls for approximately 9% of injuries. Evaluation is further complicated by extraabdominal injuries, as well as by altered me...

Blunt Abdominal Trauma

Duodenal perforation from blunt abdominal trauma.

I. は じめに 腹 部鈍的外傷におけ る十二 指腸 の腹 膜後隙 内破裂 は従 来比較 的まれ とされ て きたが,最 近 の社 会の多様性 に併 い,交 通外傷,労 働 災害,ス ポー ツ外傷 などに よるその 告 も増 えつつ ある.最 近われわれ も2例 の同症例 に遭遇 し治癒せ しめたが,十 二指腸は膵 とともに深部臓器 と し て後腹膜に 固定す る とい う位置的特性 に より,そ の診断 お よび手術手技はむずか し く手術死亡 も高い1)2)3)4)5)6)7). そ こでわれわれは,自 験2例 を もとに文献的に病態診断 お よび手術手技について検討を試みたので ここに報告す る. II. 症 例 <症 例1>29歳,男 性 受傷機 転:泥 酔 状態 にて 自家用車運 転中,電 柱に 衝 突,ハ ン ドル で上腹部 を強打 を し,pre shok状 態 にて救...