Sebayel M I, Qasabi Q O, Katugampola W, Ahmed I
King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
Injury. 1989 Mar;20(2):94-5. doi: 10.1016/0020-1383(89)90149-6.
From January 1985 to December 1987, 292 laparotomies were performed for injury in Riyadh Central Hospital. Of these, 15 cases were associated with diaphragmatic injuries (5.1 per cent). The diagnosis was missed in 5 cases (30 per cent) and was incidental (at laparotomy) in 3 cases (20 per cent). Therefore in about 50 per cent of the cases, the diagnosis was not made at the initial presentation. In this paper we stress the importance of maintaining a high degree of clinical suspicion in order not to miss traumatic diaphragmatic hernia in multiply injured patients.
1985年1月至1987年12月期间，利雅得中心医院共进行了292例剖腹手术治疗损伤。其中，15例伴有膈肌损伤（5.1%）。5例（30%）漏诊，3例（20%）为术中偶然发现。因此，约50%的病例在初次就诊时未确诊。在本文中，我们强调在多发伤患者中保持高度临床怀疑以免漏诊创伤性膈肌疝的重要性。
