创伤性膈破裂的延迟表现。

Delayed presentation of traumatic diaphragmatic rupture.

作者信息

Walchalk Lisa R, Stanfield Stephen C

机构信息

Department of Emergency Medicine, Palmetto Health Richland, Columbia, South Carolina 29203, USA.

出版信息

J Emerg Med. 2010 Jul;39(1):21-4. doi: 10.1016/j.jemermed.2007.09.044. Epub 2008 May 16.

DOI:10.1016/j.jemermed.2007.09.044

PMID:18486412

Abstract

We present the case of a 57-year-old woman who suffered a delayed presentation of a traumatic diaphragmatic rupture (TDR). Because TDR is frequently missed on initial presentation, a delay between trauma and diagnosis can present a unique diagnostic dilemma for the emergency physician. Important historical clues and physical examination findings are the keys to making this diagnosis.

摘要

我们报告一例57岁女性创伤性膈肌破裂（TDR）延迟就诊的病例。由于TDR在初次就诊时经常被漏诊，创伤与诊断之间的延迟会给急诊医生带来独特的诊断难题。重要的病史线索和体格检查结果是做出这一诊断的关键。