创伤性膈肌破裂

Traumatic diaphragmatic rupture.

作者信息

Willsher P C, Cade R J

机构信息

Department of Surgery, Box Hill Hospital, Victoria.

出版信息

Aust N Z J Surg. 1991 Mar;61(3):207-10. doi: 10.1111/j.1445-2197.1991.tb07593.x.

DOI:10.1111/j.1445-2197.1991.tb07593.x

PMID:2003838

Abstract

Twenty-three cases of traumatic diaphragmatic rupture due to blunt and penetrating trauma are reviewed. The need for early diagnosis is stressed. Chest radiography was the most sensitive diagnostic method (66% for blunt trauma), although other techniques are discussed. The high incidence of associated intra-abdominal injury (83%) mandates primary abdominal approach to repair. An overall mortality of 31% reflects the severity of the trauma.

摘要

回顾了23例因钝性和穿透性创伤导致的创伤性膈肌破裂病例。强调了早期诊断的必要性。胸部X线摄影是最敏感的诊断方法（钝性创伤的诊断率为66%），不过也讨论了其他技术。合并腹内损伤的发生率较高（83%），这就要求采用经腹入路进行一期修复。31%的总死亡率反映了创伤的严重程度。