Ammann A M, Brewer W H, Maull K I, Walsh J W
AJR Am J Roentgenol. 1983 May;140(5):915-6. doi: 10.2214/ajr.140.5.915.
Traumatic rupture of the diaphragm may be caused by either penetrating or blunt trauma. The diagnosis is often delayed because of attention to other serious injuries or lack of specific clinical and radiographic signs. In cases of penetrating peridiaphragmatic trauma, the possibility of a diaphragmatic laceration may not be considered, or the plain film findings may be extremely subtle or absent [1]. We report a case of delayed presentation of traumatic diaphragmatic hernia demonstrated by real-time sonography [2]. To our knowledge, this is the first reported case in which sonography provided a definitive diagnosis and prompted immediate surgical repair.
膈肌创伤性破裂可能由穿透性或钝性创伤引起。由于关注其他严重损伤或缺乏特异性临床和影像学表现，诊断往往延迟。在穿透性膈周创伤病例中，可能未考虑膈肌撕裂的可能性，或平片表现可能极其细微或无异常[1]。我们报告一例通过实时超声检查发现的创伤性膈疝延迟表现病例[2]。据我们所知，这是首例报道的超声检查提供明确诊断并促使立即进行手术修复的病例。
