Mehdi A, Closset J, el Nakadi I, Houben J J, Veys I, Lambilliotte J P
Medico-Surgical Department of Gastroenterology, U.L.B. Hôpital Erasme, Brussels, Belgium.
Acta Chir Belg. 1995 Nov-Dec;95(6):281-3.
Diaphragmatic rupture occurs in 25% of the thoracic and abdominal blunt injuries. It may be discovered immediately or sometimes several months or even years after the trauma. The diagnosis can be made easily on the basis of a standard chest X-ray. Barium swallow examination, computerized tomography Scan and especially Magnetic resonance imaging can be helpful for differential diagnosis. Surgical treatment is always necessary.
膈肌破裂发生于25%的胸腹部钝性损伤中。它可能在受伤后立即被发现,也可能在数月甚至数年之后才被发现。基于标准胸部X光片可轻松做出诊断。吞咽钡剂检查、计算机断层扫描,尤其是磁共振成像有助于鉴别诊断。手术治疗总是必要的。