Kučera Alexandr, Rygl Michal, Snajdauf Jiří, Kavalcová Lucie, Petrů Ondřej, Ritschelová Vlasta, Kynčl Martin
Department of Pediatric Surgery;
Department of Anaesthesiology and Resuscitation;
Clin Pract. 2011 Dec 30;2(1):e3. doi: 10.4081/cp.2012.e3. eCollection 2012 Jan 1.
Right-sided traumatic diaphragmatic rupture in childhood is a very rare injury. Diaphragmatic rupture often manifests itself later, after an organ progressively herniates into the pleural cavity. When the patient is tubed, the ventilation pressure does not allow herniation of an organ, which occurs when the patient is ex-tubed. We present a patient with a delayed diagnose of right sided diaphragmatic rupture with a complicated post-operation state.
小儿右侧创伤性膈肌破裂是一种非常罕见的损伤。膈肌破裂通常在器官逐渐疝入胸腔后才会显现出来。当患者使用气管插管时,通气压力可防止器官疝出,而在拔除气管插管后则会发生器官疝出。我们报告一例右侧膈肌破裂诊断延迟且术后状态复杂的患者。