创伤性膈肌破裂：存在膈膨升时的诊断难题——病例报告

Traumatic diaphragmatic rupture, a diagnostic dilemma in the presence of eventration: a case report.

作者信息

Lone Reyaz Ahmad, Sharma Mukand Lal, Wani Mahmood, Rather Shiraz, Ahangar Abdul Gani, Rasool Fouzia, Bhat Mohd Akbar, Dar Abdul Majid, Lone Guhlam Nabi, Singh Shyam, Mir Ishtiyaq, Shah Shabir, Shah Mubashir, Wani Mohd Lateef

机构信息

Department of Cardiothoracic and Vascular Surgery, Sheri Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, 190011, India.

出版信息

Cases J. 2009 Sep 3;2:6615. doi: 10.4076/1757-1626-2-6615.

DOI:10.4076/1757-1626-2-6615

PMID:19918534

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2769304/

Abstract

Eventration of the diaphragm is the condition where the muscle is permanently elevated, but retains its continuity and attachments to the costal margins. Traumatic diaphragmatic rupture is a recognized consequence of high velocity blunt trauma to the abdomen usually a result of motor vehicle accident. Multi-slice CT and Magnetic Resonance Imaging in the pre-operative evaluation of trauma patients, diaphragmatic rupture can be still overlooked if not evaluated with the fair degree of clinical suspicion, more so if it is associated with an eventration of diaphragm - as was in our case.

摘要

膈膨升是指膈肌永久性抬高，但仍保持其连续性及与肋缘的附着。创伤性膈肌破裂是腹部高速钝性创伤公认的后果，通常由机动车事故导致。在创伤患者的术前评估中，多层螺旋CT和磁共振成像检查时，如果没有相当程度的临床怀疑，膈肌破裂仍可能被漏诊，若其与膈膨升相关时更是如此，就像我们的病例一样。