Kanauchi N, Fujishima T, Oizumi H
Department of Surgery, Shirataka Town Hospital, Yamagata, Japan.
Kyobu Geka. 2006 Nov;59(12):1123-6.
A 62-year-old male who had had the left femoral neck fracture due to a traffic accident 1 year earlier was admitted to our hospital because of abdominal pain. He was diagnosed with a left traumatic diaphragmatic hernia due to the previous traffic accident; his condition was also complicated by shock because the mediastinum was compressed by his severely dilated stomach. We performed an emergent operation. A thoracotomy revealed a large defect, about 5 cm in size, at the central tendon of the left diaphragm and a severely dilated stomach in the left thoracic cavity. The ruptured diaphragm was closed directly after reduction of the stomach.
一名62岁男性，1年前因交通事故导致左股骨颈骨折，因腹痛入住我院。他被诊断为因先前交通事故导致的左创伤性膈疝；由于严重扩张的胃部压迫纵隔，他还并发了休克。我们进行了急诊手术。开胸手术发现左膈中心腱有一个约5厘米大小的大缺损，左胸腔内有一个严重扩张的胃部。在将胃复位后直接缝合破裂的膈肌。
