Sangster G, Ventura V Prieto, Carbo A, Gates T, Garayburu J, D'Agostino H
Department of Radiology, LSUHSC-S, 1501 Kings Highway, Shreveport, LA 71130, USA.
Emerg Radiol. 2007 Feb;13(5):225-30. doi: 10.1007/s10140-006-0548-y. Epub 2006 Nov 29.
In the US and Western Europe, trauma is the fourth most common cause of death and the leading cause of death in the population less than 45 years of age [Mullinix and Foley, J Comput Assist Tomogr 28(Suppl 1):S20-S27, 2004]. Diaphragmatic injuries occur in 0.8 to 8% of patients after blunt trauma (Gray H, The muscles of the thorax. Anatomy of the human body. Lea & Febiger, Philadelphia, 1918) and may be a predictor of severity of injury in the blunt trauma patient [Worthy et al., Radiology 194(3):885-888, 1995]. The clinical diagnosis of diaphragmatic rupture (DR) is difficult and is missed in anywhere from 7 to 66% of patients [Cantwell, Radiology 238(2):752-753, 2006]. The accurate diagnosis and prognosis of this pathology depend on a complete knowledge of the clinical and radiological presentation. Computed tomography is the imaging modality of choice in the assessment of patients with clinical or radiographic findings suggestive of DR.
在美国和西欧，创伤是第四大常见死因，也是45岁以下人群的首要死因[穆利尼克斯和福利，《计算机辅助断层扫描杂志》28（增刊1）：S20 - S27，2004年]。钝性创伤后，0.8%至8%的患者会发生膈肌损伤（格雷·H，《胸部肌肉。人体解剖学》。利平科特出版社，费城，1918年），这可能是钝性创伤患者损伤严重程度的一个预测指标[沃西等人，《放射学》194(3):885 - 888，1995年]。膈肌破裂（DR）的临床诊断困难，7%至66%的患者会漏诊[坎特韦尔，《放射学》238(2):752 - 753，2006年]。这种病理状况的准确诊断和预后取决于对临床和放射学表现的全面了解。计算机断层扫描是评估有临床或影像学表现提示DR患者的首选成像方式。
