Department of emergency, University hospital Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.
World J Emerg Surg. 2011 Aug 1;6:23. doi: 10.1186/1749-7922-6-23.
A tension pneumothorax is a known life-threatening condition which requires a needle decompression. A diaphragmatic rupture is a relatively rare injury and is difficult to diagnose. A combination of a tension pneumothorax in presence of an ipsilateral diaphragmatic rupture can be called life-saving since the air in the pleural space is able to escape to the abdomen. The diagnosis of a diaphragmatic rupture by computed tomography or even by laparo- or thorascopy is crucial. Surgical repair should always be undertaken because the rupture will not close spontaneously and the risk of herniation of intra-abdominal organs to the pleural space will remain. In presence of a chest tube on suction, iatrogenic migration or even perforation of these organs can occur.
张力性气胸是一种已知的危及生命的病症，需要进行针减压。膈破裂是一种相对罕见的损伤，难以诊断。张力性气胸合并同侧膈破裂可称为救命，因为胸腔内的空气能够逸入腹部。通过计算机断层扫描甚至腹腔镜或胸腔镜诊断膈破裂至关重要。应始终进行手术修复，因为破裂不会自行闭合，并且腹腔器官疝入胸腔的风险仍然存在。在胸腔引流管吸引的情况下，这些器官可能会发生医源性迁移甚至穿孔。
