Frontini L, Lucca G, Pozzi C, Rona P
Chir Ital. 1978 Feb;30(1):58-79.
Our experience with 26 Patients who sustained traumatic laceration of the diaphragm caused by blunt forces is described. Automobile accidents were the most frequent cause of rupture and young adult males the most vulnerable. The left hemidiaphragm is most frequently injured, but with sufficient force significant tears in the right hemidiaphragm will occur. Most of these patients sustained injury to multiple organ systems. The preoperative diagnosis of traumatic diaphragmatic hernia is based on a high index suspicion, close and continued observation of the patient, and correct interpretation of roentgenograms of the chest. The mortality rate is high owing to the magnitude of the injuries.
本文描述了我们对26例因钝性外力导致外伤性膈肌撕裂患者的治疗经验。车祸是破裂最常见的原因，青壮年男性最易受伤。左半膈肌最常受伤，但如果外力足够大，右半膈肌也会出现明显撕裂。这些患者大多合并多器官系统损伤。外伤性膈疝的术前诊断基于高度怀疑、对患者的密切持续观察以及对胸部X线片的正确解读。由于损伤严重，死亡率较高。
