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作者复习了4例外伤后肠狭窄的临床记录、X线和病理学发现。男性3例,女性1例,年龄36～63岁。诊断基于以下标准:①有明确的腹部钝伤史。②外伤前没有明显的疾病。③肠的症状起始于外伤后。④X线照片证实有肠狭窄。⑤切除的标本狭窄段没有其它特异性炎症或肿瘤件改变。2例狭窄发生于小肠,另外2例位于大肠。每一例肠道都仅有一个单发的狭窄区。4例患者最狭窄处肠腔直径(5～7mm)没有明显差别,但2例回肠狭窄和2例结肠受累患者出现的症状不同。此外,回肠狭窄患者的近段肠管扩张明显,主要症状为恶心和呕吐。3例呈同心形管状狭窄,狭
The authors reviewed the clinical records of 4 cases of traumatic bowel strictures, X-ray and pathological findings. 3 males and 1 females, aged 36 to 63 years old. Diagnosis based on the following criteria: a clear history of abdominal blunt trauma. ② no obvious disease before the trauma. ③ intestinal symptoms began after trauma. ④ X-ray photo confirmed intestinal stenosis. ⑤ resected specimens of the narrow section no other specific inflammation or tumor changes. Two cases occurred in the small intestine and the other two in the large intestine. Each case has only one single bowel stricture. There was no significant difference in the diameter of the lumen between 5 and 7 mm in the narrowest part of 4 patients, but 2 patients with ileal stenosis and 2 colon involvement had different symptoms. In addition, patients with ileum stenosis proximal intestinal dilatation obvious, the main symptoms of nausea and vomiting. 3 cases were concentric tubular stenosis, narrow