Nilsson P E, Aspelin P, Ekberg O, Senyk J
Department of Diagnostic Radiology, Malmö Allmänna Sjukhus, University of Lund, Sweden.
Acta Radiol. 1988 Nov-Dec;29(6):653-5.
A case of right-sided diaphragmatic rupture due to blunt trauma is reported. The diagnosis was confirmed by sonography and diagnostic pneumoperitoneum. Ultrasonography was of great value by showing a discontinuous, 'flapping' ruptured diaphragm. Computed tomography was of no value. It was concluded that when right-sided diaphragmatic rupture is suggested sonographic examination should be performed. If the sonographic examination is non-diagnostic, a pneumoperitoneum should follow.
本文报告一例因钝性创伤导致的右侧膈肌破裂病例。通过超声检查和诊断性气腹确诊。超声检查通过显示膈肌连续性中断、呈“扑动”样破裂具有重要价值。计算机断层扫描无诊断价值。得出的结论是,当怀疑有右侧膈肌破裂时,应进行超声检查。如果超声检查无法确诊,则应进行气腹检查。