目的:探讨儿童创伤性胃肠破裂在临床上几种特殊诊断和治疗。方法:对近22年来我院收治的103例儿童创伤性胃肠破裂的诊断和治疗进行回顾性分析。结果:103例均进行胃肠修补缝合术,其中12例伴肝破裂进行肝破裂修补术;4例伴脾破裂进行脾切除术;2例伴胰腺挫裂伤进行胰腺清创修补引流术。术后患儿全部治愈出院。结论:儿童腹部外伤应常规腹穿,透视未见膈下游离气体不能排除肠破裂,24h腹痛没有减轻,应果断实施剖腹探查决定。胃肠破裂注意多处伤和多发伤,伴脾破裂应遵循“抢救生命第一、保脾第二”的原则;左半结肠破裂一期手术采用经肛缝合处上下双管引流减少漏的发生。 Objective: To explore several special clinical diagnosis and treatment of traumatic gastrointestinal rupture in children. Methods: A retrospective analysis was made on the diagnosis and treatment of traumatic gastrointestinal rupture in 103 children admitted to our hospital in recent 22 years. Results: All 103 patients underwent gastrointestinal repair suture. Among them, 12 patients had hepatic rupture repair with liver rupture, 4 patients with splenectomy for splenectomy, and 2 patients with pancreatic contusion and laceration for repair and drainage of pancreatic drainage. All patients were cured after discharge. Conclusion: Abdominal trauma in children should be routine abdominal perforation, see the absence of free gas under the diaphragm can not rule out intestinal rupture, 24h abdominal pain did not reduce, should be decisive laparotomy decision. Gastrointestinal rupture pay attention to multiple injuries and multiple injuries, with splenic rupture should follow the “save the lives of the first, spleen to protect the second” principle; the first half of the rupture of the colon through the anal suture at the upper and lower double drainage to reduce the occurrence of leakage .