PDF(Pubmed)
Abstract：
We report herein our experience with a 10-year-old girl who incurred injuries consistent with seat belt syndrome. The patient was involved in a low-speed motor vehicle accident while restrained in a three-point belt (shoulder and lap belts). She complained of abdominal pain and developed tenderness and abdominal guarding. On admission, enhanced computed tomography (CT) demonstrated a fluid collection in the pelvis and a fractured vertebra in the lumbar spine. The following day, her C-reactive protein and serum amylase levels were elevated and plain CT demonstrated free air in the left side of the abdominal cavity. A ruptured jejunum was detected on laparoscopy. The involved segment of intestine was resected and an end-to-end anastomosis performed. She had an uneventful post-operative course. On post-operative day 14, she was transferred to another facility to undergo therapy for her spinal fracture. After completing conservative therapy, she was discharged 5 weeks after the initial injury.
摘要：
我们在此报告了我们对一名10岁女孩的经历，该女孩遭受了与安全带综合症相符的伤害。该患者被束缚在三点式安全带（肩带和腰带）中时发生了低速机动车事故。她抱怨腹痛，出现压痛和腹部保护。一入场,增强计算机断层扫描（CT）显示骨盆中的液体积聚和腰椎中的椎骨骨折。第二天,患者的C反应蛋白和血清淀粉酶水平升高，平扫CT显示腹腔左侧有游离空气。腹腔镜检查发现空肠破裂。切除受累的肠段，并进行端到端吻合。她有一个平静的术后课程。术后第14天，她被转移到另一个机构接受脊柱骨折治疗。完成保守治疗后，她在初次受伤后5周出院。
