儿童创伤性右膈疝：诊断难点

Ndour O, Mustapha H, Ndoye N A, Faye Fall A L, Ngom G, Ndoye M

Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.

Afr J Paediatr Surg. 2015 Jan-Mar;12(1):94-7. doi: 10.4103/0189-6725.151004.

Traumatic right diaphragmatic hernia is rare in children. Its diagnosis can be difficult in the acute phase of trauma because its signs are not specific, especially in a poly trauma context. We report two cases of traumatic right diaphragmatic hernia following a blunt thoraco-abdominal trauma, highlighting some difficulties in establishing an early diagnosis and the need for a high index of suspicion.

创伤性右膈疝在儿童中较为罕见。在创伤急性期，其诊断可能存在困难，因为其体征不具特异性，尤其是在多发伤的情况下。我们报告两例钝性胸腹创伤后发生的创伤性右膈疝病例，强调了早期诊断存在的一些困难以及高度怀疑的必要性。