Sacco Rocco, Quitadamo Stefania, Rotolo Nicola, Di Nuzzo Decio, Mucilli Felice
U.O. di Clinica Chirurgica, Dipartimento di Scienze Chirurgiche, Università G. D'Annunzio, Chieti.
Acta Biomed. 2003;74 Suppl 2:71-3.
402 thoracoabdominal traumas have been observed since November 1998 and seven of these patients (1.7%) showed a diaphragmatic rupture. Four patients showed a right diaphragm rupture and three a left diaphragm rupture. Road traffic accidents were the main cause of trauma. Early diagnosis was performed in three patients (43%), a delayed diagnosis was made to the other patients (57%): one case was an intraoperative diagnosis (14.2%). Everyone had chest X rays and chest and upper abdomen CT scan. One patient had MRI on a late diagnosis. Thoracotomy was performed in all patients and one case (14.2%) of morbility and one (14.2%) of mortality were observed.
自1998年11月以来，共观察到402例胸腹外伤患者，其中7例（1.7%）出现膈肌破裂。4例为右侧膈肌破裂，3例为左侧膈肌破裂。道路交通事故是外伤的主要原因。3例患者（43%）得到早期诊断，其余患者（57%）为延迟诊断：1例为术中诊断（14.2%）。所有患者均进行了胸部X线检查以及胸部和上腹部CT扫描。1例患者在延迟诊断时进行了MRI检查。所有患者均接受了开胸手术，观察到1例（14.2%）出现并发症，1例（14.2%）死亡。
