Diagnosis and treatment of intestinal necrosis following blunt abdominal trauma: an analysis 11 cases        LUO Tian-hang，LU Zheng-mao，WU Jian-guo，et al. Department of General Surgery, Changhai Hospital of the Second Military Medical University，Shanghai 200433, China
Corresponding  author ：FANG Guo-en，E-mail：fangguoen@126.com
Abstract    Objective    To evaluate the diagnosis and treatment of intestinal necrosis following blunt abdominal trauma.Methods    The clinical data of 415 cases of blunt abdominal trauma admitted from January 2000 to January 2008 at Changhai Hospital of the Second Military Medical University were analyzed retrospectively. A total of 11 cases （2.65%）were performed operation to be diagnosed as delayed intestinal necrosis following blunt abdominal trauma. Results    A total of 8 cases were underwent partial intestinal or colorectal resection and anastomosis. Three cases were performed enterostomy firstly because of severe abdominal contamination, then performed intestinal or colorectal anastomosis after six months. All the cases were cured, and intestinal fistulas occurred in 2 cases who were then cured by suitable therapy. Conclusion    The clinical features of intestinal necrosis following blunt abdominal trauma are rather difficult to be diagnosed correctly in the early stage. CT scan is the most sensitive preoperational examination and reasonable operative procedure is the key to promote the effects of the treatment.