轻微钝性胸部创伤后的误导性症状。膈肌破裂的胸腔镜治疗。

Misleading symptoms after a minor blunt chest trauma. Thoracoscopic treatment of diaphragmatic rupture.

作者信息

Kocher T M, Gürke L, Kuhrmeier A, Martinoli S

机构信息

Department of Surgery, University Hospital of Basel, CH-4031 Basel, Switzerland.

出版信息

Surg Endosc. 1998 Jun;12(6):879-81. doi: 10.1007/s004649900734.

DOI:10.1007/s004649900734

PMID:9602011

Abstract

We present a case of missed diaphragmatic rupture which was treated thoracoscopically. Rupture of the diaphragm is a serious complication of blunt trauma. The diaphragmatic injury can easily be overlooked. This report illustrates the diagnostic dilemma in a patient where the injury was missed at the time of initial presentation. The role of thoracoscopy both for diagnosis and therapy is discussed.

摘要

我们报告一例经胸腔镜治疗的漏诊膈肌破裂病例。膈肌破裂是钝性创伤的严重并发症。膈肌损伤很容易被忽视。本报告阐述了一名患者在初次就诊时损伤被漏诊的诊断困境。同时讨论了胸腔镜在诊断和治疗中的作用。