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６例患儿均为钝性撞击伤，上腹部受伤４例，右上腹受伤２例。６例均有腹膜刺激征，其中４例伴有创伤性休克。腹腔穿刺６例，４例抽出不凝固血液，２例未抽出液体。腹部Ｘ线检查５例，４例可见膈下游离气体。１例口服碘剂造影，见十二指肠第二、三段受压征。Ｂ超检查２例，均可见肝下少量积液。强调腹腔穿刺、Ｘ线腹部透视及平片、口服碘剂造影以及辅以Ｂ超检查有助于本病的早期诊断。治疗上应尽早行剖腹探查术。正确的手术方式、综合治疗和加强术后护理对预后甚为重要。
All of the 6 children were blunt traumatic injuries, 4 cases were injured in the upper abdomen and 2 cases were injured in the right upper quadrant. 6 cases had peritoneal irritation, of which 4 cases with traumatic shock. Abdominal puncture in 6 cases, 4 cases of non-coagulated blood, 2 cases did not withdraw liquid. Abdominal X-ray examination in 5 cases, 4 cases of visible diaphragm free gas. 1 case of oral iodine contrast, see the second and third dura mater pressure sign. B-ultrasound in 2 cases, a small amount of fluid can be seen under the liver. Emphasis on abdominal puncture, X-ray abdominal plain and plain film, oral iodine contrast imaging and assisted by B-ultrasound help the early diagnosis of the disease. Laparotomy should be performed as soon as possible. The correct surgical approach, comprehensive treatment and strengthening of postoperative care is very important prognosis.