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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。
The purpose of pediatric traumatic duodenal hematoma is rare, this article discusses the diagnosis and treatment characteristics. Methods The clinical data of 6 cases of traumatic duodenal hematomas in children admitted to our hospital were reviewed and reviewed. Results This group of children had a clear history of abdominal trauma, complaining of right upper quadrant pain, bile vomiting, physical examination of right upper quadrant tenderness, B- or CT confirmed as duodenal hematoma, all cases were treated conservatively, of which One case of laparotomy confirmed the diagnosis of continuous conservative treatment, 5 to 14 d improved symptoms, discharged. Conclusion The history of abdominal trauma, right upper quadrant pain, upper gastrointestinal obstruction symptoms, combined with B ultrasound, CT findings, can be clearly diagnosed pediatric traumatic duodenal hematoma. Most of the damage can be cured with non-surgical methods.