本文报道一例男性患者46岁因腹部枪伤而住院,经剖腹探查发现十二指肠撕裂,升结肠有两个大穿孔,未伤及两肾及其血管,做了右半结肠切除术,回肠造瘘和初期的十二指肠修补术,术前血压正常,尿排出量好,无蛋白尿,每高倍镜视野仅有3～4个红细胞,BUN(血尿素氮)13mg/dl,静脉肾盂造影正常, This article reports a male patient 46 years old hospitalized for abdominal gunshot wounds, laparotomy detected by laparotomy tear, ascending colon has two large perforation, did not hurt the two kidneys and their blood vessels, made the right half of the colon resection, Ileostomy and early duodenal repair, preoperative blood pressure, good urinary output, protein-free urine per high magnification only 3 to 4 red blood cells, BUN (blood urea nitrogen) 13mg / dl, intravenous Pyelography normal,