Dunn D B, Quick G
Department of General Surgery, Scott and White Clinic, Scott and White Memorial Hospital, Temple, Texas.
Am J Emerg Med. 1990 Jan;8(1):36-9. doi: 10.1016/0735-6757(90)90292-8.
The case of an 80-year-old woman with an incarcerated paraesophageal hernia is presented. Among diaphragmatic hernias, the paraesophageal or type II hernia occurs with an incidence of 5%, sliding or type I hernia occurs with an incidence of 95%. Incarcerated paraesophageal hernia is a surgical emergency requiring rapid decompression and reduction to minimize catastropic consequences of hemorrhage, perforation, and visceral infarction. The clinical presentation and diagnostic workup of the patient with incarcerated type II diaphragmatic hernia are discussed.
本文介绍了一名80岁患有绞窄性食管旁疝的女性病例。在膈疝中，食管旁疝或II型疝的发生率为5%，滑动疝或I型疝的发生率为95%。绞窄性食管旁疝是一种外科急症，需要迅速减压和还纳，以将出血、穿孔和内脏梗死等灾难性后果降至最低。本文讨论了II型绞窄性膈疝患者的临床表现和诊断检查。
