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[创伤后膈疝伴延迟诊断。1例临床病例报告]

[Post-traumatic diaphragmatic hernia with late diagnosis. Report of a clinical case].

作者信息

Cristofaro M G, Lazzaro F, Cafaro D, Natale R, Mauro P, Savino N, Musella S

机构信息

Università degli Studi di Catanzaro Facoltà di Medicina e Chirurgia Cattedra di Chirurgia Generale.

出版信息

Ann Ital Chir. 2000 Sep-Oct;71(5):595-8.

Abstract

Starting from the observation of a case of late diagnosed left-side hernia after traumatic rupture of diaphragma, the authors consider the increasing incidence of this pathology during the years. The increased frequency of thoraco-abdominal traumas and the more sophisticated diagnostic tools, permit an earlier diagnosis nowadays. In our patient the diagnosis was made late on the basis of the standard x-ray of the thorax. The CT scan of the thorax and of the abdomen gave more informations. Left thoracotomy enabled a wide exposure of the herniated viscera; the breakthrough of the diaphragm was repaired by means of interrupted suture and it was necessary to apply two prostheses of synthetic material.

摘要

从观察到一例因膈肌外伤性破裂导致的晚期诊断左侧疝病例开始,作者考虑了这些年来这种病理情况发病率的上升。胸腹外伤频率的增加以及更先进的诊断工具,使得如今能够更早地做出诊断。在我们的患者中,基于胸部标准X线片诊断较晚。胸部和腹部的CT扫描提供了更多信息。左胸切开术能够广泛暴露疝出的脏器;通过间断缝合修复膈肌破裂处,并且有必要应用两片合成材料假体。

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