Loth R
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:462-5.
A distinction is made between acute injury to the diaphragm (18 cases) and late sequels of such lesions (enterothorax, 9 cases). The acute trauma is often not felt as such and it is only after some time that its consequences manifest themselves. The effect of a trauma on the diaphragm depends on whether the former acts on the abdomen or thorax. Surgical repair of the damaged diaphragm is nearly always feasible regardless of whether the operation is performed at an early or late stage of the injury. In only two cases (since 1963) was it necessary to resort to heteroplastic material, viz.: lyophilized dura mater. The possibility that viscera displaced into the thorax are also injured must be taken into consideration. Rupture of the diaphragm involved the left side in 95% and the right half in 5% of the cases (protection provided by the liver).
区分了膈肌急性损伤（18例）及其损伤的晚期后遗症（胸腔内积肠，9例）。急性创伤通常当时并无感觉，只是过一段时间后其后果才显现出来。创伤对膈肌的影响取决于创伤作用于腹部还是胸部。无论手术是在损伤的早期还是晚期进行，受损膈肌的手术修复几乎总是可行的。自1963年以来，仅在两例中需要使用异种材料，即冻干硬脑膜。必须考虑到移入胸腔的内脏也受到损伤的可能性。膈肌破裂在95%的病例中累及左侧，5%累及右侧（肝脏提供保护）。
