Saber W L, Moore E E, Hopeman A R, Aragon W E
J Emerg Med. 1986;4(1):1-7. doi: 10.1016/0736-4679(86)90106-x.
More than 111 patients with traumatic diaphragmatic hernia (TDH) were treated in a 5 1/2-year period; eight (7.2%) were first recognized more than 30 days postinjury. All were men, and their average age was 33.4 years. Seven injuries were on the left side; one was on the right side. The mechanism of injury was equally divided between penetrating and blunt trauma. Chest roentgenographic abnormalities were seen in all patients. Visceral reduction and diaphragmatic repair, despite strangulation in four patients, was accomplished without mortality and with minimal morbidity. Delayed presentation of TDH is reviewed, emphasizing diagnostic features encountered in the emergency department (ED).
在5年半的时间里，共治疗了111例以上的创伤性膈疝（TDH）患者；其中8例（7.2%）在受伤30天以上才首次被确诊。所有患者均为男性，平均年龄为33.4岁。7例损伤在左侧；1例在右侧。穿透伤和钝性伤导致损伤的机制相同。所有患者胸部X线均有异常表现。尽管有4例患者出现绞窄，但通过内脏复位和膈肌修复，均无死亡病例，且发病率极低。本文对TDH的延迟表现进行了综述，重点强调了急诊科（ED）遇到的诊断特征。
