[Diagnostics and surgical treatment of diaphragm ruptures].

29 patients, aged 18-63 years, with diaphragm ruptures and severe polytraumatic injuries were treated. 26 patients had laparotomy, the rest 2 were thoracotomyzed for the surgical treatment. The rupture of the diaphragm was diagnosed during surgery in 8 (27,6%) patients, who were initially operated on cause of massive bleeding. In 16 (55,2%) cases there were no signs of bleeding, though patients showed clinical picture of abdominal contents' dislocation to the pleural cavity. Rupture of the diaphragm was misdiagnosed during the first operation and caused the second laparotomy in 4 (13,8%) patients. Rupture was left-sided in 28 patients, right-sided in 1 case. Postoperative lethality was 13,8% (4 patients).