Orsi P, Rollo S, Montanari M, Rossi G
I Divisione di Chirurgia Generale, Azienda USL di Parma, Presidio Ospedaliero di Fidenza.
G Chir. 1998 Jan-Feb;19(1-2):13-7.
Diaphragmatic rupture is a potentially severe complication of blunt trauma which can easily be overlooked during initial emergency department evaluation. Delayed diagnosis is due to severe concurrent injuries and lack of specific clinical features and instrumental procedures. Clinical features of diaphragmatic herniation, in the early presentation, include respiratory symptoms, while abdominal symptoms and signs are late. Plain chest radiography repeated, if negative, is the main help in the diagnosis: especially in patients managed with intermittent positive-pressure ventilation. Experience in five cases of diaphragmatic hernia is reported.
膈肌破裂是钝性创伤的一种潜在严重并发症，在急诊科初步评估时很容易被忽视。诊断延迟是由于严重的合并伤以及缺乏特异性临床特征和检查手段。早期表现的膈肌疝临床特征包括呼吸系统症状，而腹部症状和体征出现较晚。重复进行胸部X线平片检查（若结果为阴性）是诊断的主要辅助手段：尤其对于采用间歇正压通气治疗的患者。本文报告了5例膈肌疝的诊治经验。
