【摘要】 目的小儿外伤性十二指肠壁内血肿临床少见,本文探讨其诊断和治疗特点。方法回顾总结本院收治的6例外伤性十二指肠壁内血肿患儿病例资料,并行文献复习。结果本组患儿均有明确的腹部外伤史,主诉右上腹疼痛,胆汁性呕吐,查体右上腹压痛,B超或CT证实为十二指肠壁内血肿,所有病例均行保守治疗,其中1例剖腹探查明确诊断后继续保守治疗,5～14 d症状好转,痊愈出院。结论腹部外伤史,右上腹疼痛,上消化道梗阻症状,结合B超、CT所见,可明确诊断小儿外伤性十二指肠壁内血肿。该损伤大多可用非手术方法治愈。更多还原

【Abstract】 Objective To analyze the diagnosis and treatment of the duodenal intramural hema- toma in children.Methods A retrospective review of 6 children with duodenal intramural hematoma caused by trauma at this institution from 1992 to 2003 was conducted.Their symptoms and signs were reviewed,and the clinical features and methods of treatment were analyzed.Results The patients ranged from 6 to 15 years old,they had the history of trauma and presented with abdominal pain in the upper right,upper alimentary tract obstruction,bile-stained vomiting.and right upper quadrant ten- derness.Ultrasound or CT scan was used to further confirm the diagnosis.All cases were subjected to expectant treatment.Expectant treatment was taken after the exploratory laparotomy in 1 case.All patients were cured.The average length of stay was 11 days(ranged from 5 to 14 days).Conclusions The diagnosis of the duodenal intramural hematoma in children can be made by the history,clinical presentation,and ulatrasound or CT scan.Expectant treatment is an effective treatment for these pa- tients.更多还原