[腹部创伤中的膈肌破裂]

[Diaphragmatic rupture in abdominal trauma].

作者信息

Vatansev Celalettin, Aksoy Faruk, Tekin Sakir, Tekin Ahmet, Belviranli Metin, Kaynak Adnan

机构信息

Selçuk University, Medical Faculty, Department of Surgery, Konya, Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2003 Oct;9(4):285-90.

PMID:14569486

Abstract

BACKGROUND

The aim of the study is to evaluate the patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma.

METHODS

Thirty-eight patients with diaphragmatic rupture due to penetrating or blunt abdominal trauma were investigated retrospectively.

RESULTS

The average age was 41,72 and there were 31 male and seven female patients. The injury forms were penetrating trauma in 22 (58%) and blunt trauma in 16 (42%) cases. Associated abdominal organ injuries were found in 27 (71%) cases. Among 47 diaphragmatic ruptures, 27 (57%) were on the left and 20 (43%) were on the right side. The average diameter of the rupture was 5,45 (1-20) cm. Management of the diaphragmatic rupture and other associated organ injuries were accomplished through laparotomy. Morbidity was developed in 18 cases and mortality in four cases with associated abdominal organ injuries.

CONCLUSION

Diaphragmatic rupture results in high morbidity and mortality due to associated organ injuries.

摘要

背景

本研究旨在评估因穿透性或钝性腹部创伤导致膈肌破裂的患者。

方法

回顾性调查38例因穿透性或钝性腹部创伤导致膈肌破裂的患者。

结果

平均年龄为41.72岁，男性31例，女性7例。损伤形式为穿透伤22例（58%），钝性伤16例（42%）。27例（71%）伴有腹部器官损伤。在47例膈肌破裂中，27例（57%）在左侧，20例（43%）在右侧。破裂的平均直径为5.45（1 - 20）厘米。通过剖腹手术完成膈肌破裂及其他相关器官损伤的处理。伴有腹部器官损伤的患者中，18例出现并发症，4例死亡。