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1994年5月～1999年7月间,我们收治外伤导致急性假性结肠梗阻11例,报告如下。 1 临床资料 11例中男7例,女4例。年龄25～68岁。交通事故伤7例,坠落伤3例,挤压伤1例。合并腹膜后血肿4倒次,骨盆骨折3例次,腰骶椎骨折6例次,其他器官伤4例次。伴休克2例。无空腔脏器穿孔及截瘫。全部病例都有持续性腹胀痛、恶心、呕吐,肛门停止排气、排便。查体:腹胀,有压痛,无固定压痛点,无反跳痛。叩诊呈鼓音,肠鸣音减弱或消失。腹部透视:结肠扩张,可见袋形,有少量气液平面;无膈下游离气体。腹部B超或(和)CT扫描示腹膜后血肿,肠腔积气。腹穿结果阴性。肛门指诊无异常。诊断:急性假性结肠梗阻。 2 治疗和结果经确诊后给予禁食水,胃肠减压,放置气囊式肛管减
From May 1994 to July 1999, 11 cases of acute pseudo-colonic obstruction caused by trauma were reported as follows. 1 clinical data in 11 cases, 7 males and 4 females. Age 25 ~ 68 years old. Traffic accident injury in 7 cases, fall injury in 3 cases, crush injury in 1 case. Combined retroperitoneal hematoma 4 times, pelvic fracture in 3 cases, lumbosacral vertebral fracture in 6 cases, other organ injuries in 4 cases. With shock in 2 cases. No hollow organ perforation and paraplegia. All cases have persistent abdominal pain, nausea, vomiting, anus to stop the exhaust, defecation. Examination: abdominal distension, tenderness, no fixed tenderness, no rebound tenderness. Drum sound percussion, bowel sounds weakened or disappeared. Abdominal fluoroscopy: colon dilatation, visible pouch, a small amount of gas-liquid plane; no gas under the diaphragm. Abdominal B-or (and) CT scan showed retroperitoneal hematoma, intestinal lumen. Abdominal wear results negative. Anus refers to no abnormalities. Diagnosis: Acute pseudo colon obstruction. 2 treatment and results were given after the diagnosis of fasting water, decompression, balloon-type anal canal