Mariño J M, Martínez-Urrutia M J, López-Santamaria M, Lassaletta L, Díez Pardo J A
Departamento de Cirugía Pediátrica, Hospital Infantil La Paz, Universidad Autónoma de Madrid.
An Esp Pediatr. 1987 Nov;27(5):393-6.
We have treated three children with traumatic diaphragmatic hernia appearing after blunt abdominal trauma. The hernia was on the right side in two patients and was accompanied by liver and lung injuries. The most common site of diaphragmatic rupture was the postero-lateral area in both sides. Diagnosis was suspected in all of them with chest radiograph before operative management. The transabdominal approach has proven to be efficacious in repairing the defects and often require emergency care. The diaphragmatic repair was performed using non absorbable interrupted mattress sutures. No prosthetic materials were required.
我们治疗了3例腹部钝性创伤后出现创伤性膈疝的儿童。2例患者的疝位于右侧，并伴有肝和肺损伤。两侧膈破裂最常见的部位是后外侧区域。在手术治疗前，通过胸部X线片对所有患者进行了疑似诊断。经腹入路已被证明在修复缺损方面是有效的，且通常需要紧急治疗。采用不可吸收间断褥式缝线进行膈肌修补。无需使用人工材料。
