一例右侧膈肌破裂延迟诊断病例并文献复习

A case of delayed diagnosis of a right-sided diaphragm rupture with a review of the literature.

作者信息

Somford Matthijs P, Nuytinck Hans K S, Vos Dagmar I

机构信息

Amphia Hospital, Surgery, Breda, The Netherlands.

Amphia Hospital, Surgery, Molengracht 21, 4800 RK, Breda, The Netherlands.

出版信息

Eur J Trauma Emerg Surg. 2009 Oct;35(5):499-502. doi: 10.1007/s00068-008-8124-7. Epub 2009 Jan 9.

DOI:10.1007/s00068-008-8124-7

PMID:26815218

Abstract

Right-sided diaphragm rupture is one of the typical injuries found during a secondary or tertiary survey after a major blunt trauma. This is mainly due to the apparently normal aspect of primary X-rays of the thorax. A right-sided diaphragm rupture can cause severe atelectasis of the right lower lobe of the lung, due to a hepatothorax. We present a case of a delayed diagnosis of right-sided diaphragm rupture, which was discovered by accident because of a new trauma. We review the literature on right-sided diaphragm rupture and its treatment.

摘要

右侧膈肌破裂是严重钝性创伤后二次或三次检查中发现的典型损伤之一。这主要是由于胸部初次X线检查时外观看似正常。右侧膈肌破裂可导致肝胸，进而引起右下肺严重肺不张。我们报告一例右侧膈肌破裂延迟诊断的病例，该病例因新的创伤意外发现。我们回顾了关于右侧膈肌破裂及其治疗的文献。