Flancbaum L, Morgan A S, Esposito T, Cox E F
Surg Gynecol Obstet. 1985 Sep;161(3):266-70.
An analysis of the clinical, diagnostic and therapeutic features of non-left sided diaphragmatic rupture due to blunt trauma to the torso was performed in ten patients. All patients had multiple systems involved. False-positive peritoneal lavage occurred in three patients (37.5 per cent). The correct diagnosis was made only once preoperatively; diaphragmatic rupture usually being an incidental finding at celiotomy or thoracotomy. Mortality is high and is a manifestation of associated injuries.
对10例因钝性躯干创伤导致的非左侧膈肌破裂患者的临床、诊断和治疗特征进行了分析。所有患者均涉及多个系统。3例患者(37.5%)出现了假阳性腹腔灌洗。术前仅1次做出了正确诊断;膈肌破裂通常是在剖腹术或开胸术时偶然发现的。死亡率很高,是合并伤的一种表现。