Sharma O P
Trauma Service, St. Vincent Medical Center, Toledo, Ohio 43608.
J Trauma. 1989 May;29(5):678-82.
A 10-year experience with 30 diaphragmatic injuries in 28 patients is reviewed. The left diaphragm was injured in 22 and the right in eight instances. Nine of 10 patients with penetrating trauma had diaphragmatic tears of less than 5 cm in length. Ethanol intoxication was detected in 47% of the patients involved in road accidents. Twenty per cent of auto accident victims were restrained. Transabdominal repair is the procedure of choice because of the high incidence of associated trauma (79%). Right thoracotomy was required in 25% of the patients to facilitate repair of right diaphragm rupture. The mortality rate was 7%.
回顾了28例患者30处膈肌损伤的10年经验。左侧膈肌损伤22例，右侧膈肌损伤8例。10例穿透性创伤患者中有9例膈肌撕裂长度小于5厘米。在涉及道路交通事故的患者中，47%检测出乙醇中毒。20%的汽车事故受害者系了安全带。由于合并创伤的发生率较高（79%），经腹修补是首选手术方式。25%的患者需要行右侧开胸手术以利于右侧膈肌破裂的修补。死亡率为7%。
