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病例讨论:成年男性中一种类似气胸的膈疝异常表现。

Case-based discussion: an unusual manifestation of diaphragmatic hernia mimicking pneumothorax in an adult male.

作者信息

Vyas Pradeep Kumar, Godbole Chintamani, Bindroo Susheel Kumar, Mathur Rajiv S, Akula Bharathi, Doctor Nilesh

机构信息

Department of Emergency and Respiratory Medicine, Jaslok Hospital and Research Centre, 15 Dr. G. Deshmukh Marg, Mumbai, India, Pin-Code 91-400026.

Department of Gastrointestinal-Surgery, Jaslok Hospital and Research Centre, Mumbai, India, 400 026.

出版信息

Int J Emerg Med. 2016 Dec;9(1):11. doi: 10.1186/s12245-016-0108-5. Epub 2016 Feb 29.

Abstract

Diaphragmatic hernia is an important cause of emergency hospital admission associated with significant morbidity. It usually results from congenital defect or rupture in the diaphragm due to trauma. Prompt and appropriate diagnosis is necessary in patients with this condition, as surgical intervention by either abdominal or thoracic approach may be necessary. Here, we report a case of left-sided diaphragmatic hernia presenting with sudden onset of breathlessness, respiratory distress and left-sided chest pain radiating to the abdomen, mimicking pneumothorax, treated successfully with surgical intervention.

摘要

膈疝是导致急诊入院的重要原因,常伴有严重的发病率。它通常由先天性缺陷或外伤导致的膈肌破裂引起。对于患有这种疾病的患者,及时且恰当的诊断是必要的,因为可能需要通过腹部或胸部手术进行干预。在此,我们报告一例左侧膈疝病例,患者突然出现呼吸困难、呼吸窘迫以及放射至腹部的左侧胸痛,类似气胸,经手术干预成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e2/4770005/d82479c26764/12245_2016_108_Fig1_HTML.jpg

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