WOOD N E, STUTZMAN F L
Calif Med. 1959 Nov;91(5):251-4.
With automobile accidents at high speed on the increase, some previously rare injuries are becoming more common. Rupture of the left diaphragm is fairly common. On the right, it has been believed rare. The diagnosis has often been missed for many years after the causative injury. Any suspicious x-ray film shadow at the base of the right lung field after injury such as those that occur in accidents of great impact should arouse the physician's suspicions. A mushroom-shaped mass on the lateral x-ray view is characteristic. Introduction of pneumoperitoneum may help in diagnosis. Only if the peritoneal and pleural cavities communicate will this procedure produce a pneumothorax. Surgical correction is indicated in all cases. This is best done through the chest. The right lobe of the liver usually must be reduced. In general the results are excellent.
随着高速汽车事故的增多，一些以前罕见的损伤正变得越来越常见。左膈肌破裂相当常见。而右侧膈肌破裂，一直被认为很罕见。病因性损伤发生多年后，诊断常常被漏诊。受伤后右肺野底部任何可疑的X线片阴影，比如在重大撞击事故中出现的那些阴影，都应引起医生的怀疑。侧位X线片上呈蘑菇状肿块是其特征。气腹造影有助于诊断。只有当腹腔和胸腔相通时，此操作才会产生气胸。所有病例均需手术矫正。最好通过胸部进行手术。通常必须将肝右叶复位。总体而言，效果极佳。
