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成功管理一例大型右侧嵌顿性创伤性膈疝需要七个科室的多学科合作:病例报告及文献复习

Successful management requiring multidisciplinary cooperation between seven departments for a large right-sided incarcerated traumatic diaphragmatic hernia: a case report and review of literature.

作者信息

Wei Fuwang, Li Yanchang

机构信息

Department of Thoracic Surgery, Cancer Center of Guangzhou Medical University, Guangzhou 510095, China.

Department of Dermatovenerology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.

出版信息

AME Case Rep. 2020 Apr 30;4:10. doi: 10.21037/acr.2020.03.02. eCollection 2020.

Abstract

We present a rare case of incarcerated traumatic diaphragmatic hernia (TDH) at the right-side presenting as dramatic dyspnea and acute gastrointestinal obstruction, which required urgent operative repair. This entity is sometimes difficult to ascertain after acute trauma and then consequently give rise to diagnostic delays with life-threatening outcomes. Successful management required a coordinated effort between anesthetist, sonographer, intensive care specialist, thoracic, urological, hepatobiliary and gastrointestinal surgeons. Tight and active multidisciplinary cooperation in this case manifested the positive energy in emergent resuscitation.

摘要

我们报告一例罕见的右侧嵌顿性创伤性膈疝(TDH),表现为严重呼吸困难和急性胃肠道梗阻,需紧急手术修复。该病症在急性创伤后有时难以确诊,进而导致诊断延误,产生危及生命的后果。成功的治疗需要麻醉师、超声检查医师、重症监护专家、胸外科、泌尿外科、肝胆外科和胃肠外科医生的协同努力。本病例中紧密且积极的多学科合作彰显了紧急复苏过程中的正能量。

相似文献

本文引用的文献

1
Surgical management of chronic diaphragmatic hernias.慢性膈疝的外科治疗
J Thorac Dis. 2019 Feb;11(Suppl 2):S177-S185. doi: 10.21037/jtd.2019.01.54.
2
Diaphragm and transdiaphragmatic injuries.膈肌及经膈肌损伤
J Thorac Dis. 2019 Feb;11(Suppl 2):S152-S157. doi: 10.21037/jtd.2018.10.76.
7
CARE guidelines for case reports: explanation and elaboration document.病例报告的CARE指南:解释与阐述文件。
J Clin Epidemiol. 2017 Sep;89:218-235. doi: 10.1016/j.jclinepi.2017.04.026. Epub 2017 May 18.
10
Helical CT of blunt diaphragmatic rupture.钝性膈肌破裂的螺旋CT
AJR Am J Roentgenol. 2005 Jan;184(1):24-30. doi: 10.2214/ajr.184.1.01840024.

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