Alecu L
Secţia de chirurgie generală, Spitalul Sf. Dr. Cosma şi Damian, Bucureşti.
Chirurgia (Bucur). 2001 May-Jun;96(3):259-64.
The author, based on up to date published dates, intends to present the classification and ethiopathogeny of the diaphragmatic hernias, except the aesophagic hiatus oms. This is an interesting chapter of the borderline surgery (abdominal and thorax). They are placed on the second position in frequency (after the hiatal hernias) in the diaphragmatic pathology; they are internal hernias, through congenital or obtained holes which allow to abdominal viscera to pass into thorax. They are--in the most cases, even elderly ones-congenital, result of the abnormalities in the embrionary growth of the diaphragm. A special place' is represented by the traumatic hernias.
作者基于最新发表日期,打算阐述除食管裂孔疝之外的膈疝的分类及发病机制。这是边缘外科学(腹部和胸部)中一个有趣的章节。在膈部病变中,它们的发病频率位居第二(仅次于食管裂孔疝);它们是内疝,通过先天性或后天形成的孔洞,使腹腔脏器进入胸腔。在大多数情况下,甚至是老年患者,膈疝都是先天性的,是膈肌胚胎发育异常的结果。创伤性膈疝占有特殊地位。