Spelsberg F, Kuntz R M
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:473-5.
20 cases of rupture of the diaphragm (one due to direct trauma, the other 19 due to indirect trauma) which were not recognized at the time of the accident are described. The reasons for the delay in diagnosing the true nature of the condition and the misleading complaints caused by the unrecognized injury are reviewed. Essential diagnostic measures are discussed and guide-lines are suggested to ensure the early diagnosis of rupture of the diaphragm.
本文描述了20例膈肌破裂病例（1例由直接创伤所致，另19例由间接创伤所致），这些病例在事故发生时未被识别。文中回顾了导致病情真实性质诊断延误的原因以及未被识别的损伤所引起的误导性症状。讨论了基本的诊断措施，并提出了指导方针以确保早期诊断膈肌破裂。
