Ghionzoli Marco, Bongini Martina, Piccolo Roberto Lo, Martin Alessandra, Persano Giorgio, Deaconu Diana E, Messineo Antonio
Department of Emergency, Critical Area and Pediatric Surgery, University of Florence and Children's University Hospital "A. Meyer", Florence, Italy.
Pediatr Int. 2016 Jul;58(7):601-3. doi: 10.1111/ped.12887. Epub 2016 Apr 13.
Thoraco-abdominal trauma can in rare cases involve diaphragmatic rupture and subsequent herniation of intra-abdominal contents. We report a case of this complication in a 5-year-old boy who was injured in a car crash, and who manifested respiratory distress and hemodynamic instability after 48 h of being monitored in the pediatric intensive care unit. Multiple radiologic investigations were inconclusive and the definite diagnosis was established only on thoracoscopic exploration.
胸腹创伤在极少数情况下可累及膈肌破裂及随后腹腔内容物疝出。我们报告一例5岁男孩的这种并发症，该男孩在车祸中受伤，在儿科重症监护病房监测48小时后出现呼吸窘迫和血流动力学不稳定。多项影像学检查结果不明确，仅通过胸腔镜探查才确诊。
