Outcomes of Blunt Colonic Injury in Patients with Polytrauma

多重外傷併大腸鈍傷病人之癒後比較

吳俊賢(Chun-Hsien Wu) ； 顏亦廷(Yi-Ting Yen) ； 王志榮(Chih-Jung Wang) ； 楊宗翰(Tsung-Han Yang) ； 洪國書(Kuo-Shu Hung) ； 林威廷(Wei-Ting Lin) ； 詹仁豪(Ren-Hao Chan) ； 陳柏全(Bo-Chuan Chen) ； 林劭潔(Shao-Chieh Lin) ； 李政昌(Jenq-Chang Lee) ； 林博文(Bo-Wen Lin)

《中華民國大腸直腸外科醫學會雜誌》 30卷4期 (2019/12) Pp. 135-141

https://doi.org/10.6312/SCRSTW.201912_30(4).10806

摘要

Purpose. To compare the outcomes of destructive and nondestructive blunt colonic injuries in patients with polytrauma. Method. We retrospectively selected patients with trauma-related blunt colonic injury admitted to National Cheng Kung University Hospital between January 2011 and February 2019. Clinical parameters and outcomes were compared between patients with and without destructive colonic injuries. Results. A total of 21 patients had blunt colonic injury; 7 had destructive colonic injury, and the other 14 had nondestructive colonic injury. No difference was observed between the groups in terms of trauma severity, patient condition, or underlying disease. No differences in diversion rate or colon-related complications were detected. Longer length of stay was observed in the destructive injury group. Mortality had a stronger correlation with initial trauma severity than with local colon condition. Conclusion. The mortality rate of blunt colonic injury in patients with polytrauma was more strongly correlated with the severity of trauma than with the condition of colonic injury.

關鍵字

Blunt polytrauma ； Destructive colonic injury

並列摘要

目的：在多重外傷併大腸鈍傷的病人中，比較破壞性與非破壞性大腸損傷癒後之差異。方法：回溯性的統計2011年一月到2019年二月，在成大醫院因創傷性大腸鈍傷的病人中，破壞性與非破壞性大腸損傷，並分析其臨床參數及預後上的差異。結果：共有21位病人，7人為破壞性大腸損傷，14人為非破壞性大腸損傷。經分析後，在創傷嚴重程度、病人狀況、醫學合併症上沒有明顯差異。在預後的比較，進行造口手術的比例、大腸相關併發症上沒有明顯差異。破壞性大腸損傷之病人總住院天數較長。死亡率與一開始創傷的嚴重程度較有關，與大腸損傷的嚴重程度較無關。結論：在多重外傷併大腸鈍傷的病人中，死亡率與創傷的嚴重程度有關，與大腸損傷的狀況較無關。

並列關鍵字

鈍性多重外傷 ； 大腸破壞性損傷

參考文獻

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