摘要
目的总结创伤性膈疝的诊疗经验.方法对我院1976年6月～2004年10月所收治的创伤性膈疝30例进行回顾性分析.结果创伤性膈疝的病因以交通事故最多见,胸部平片检查确诊率34.6%,全组治愈28例(93.33%).2例因多脏器功能衰竭死亡(6.66%).随访16例,无复发.结论创伤性膈疝延误诊断与膈疝形成过程、病情危重等因素有关,动态观察伤员病情变化,及时复查胸部平片是防止延误诊断的主要措施.创伤性膈疝确诊后应急诊手术.
Objectives To study the diagnosis and treatment of traumatic diaphragmatic herniation.Methods Thirty cases of traumatic diaphragmatic herniation in our hospital between June,1976 and October,2004 were reviewed retrospectively.Results Traffic accidents was the most frequent cause of traumatic diaphragmatic hernia,while 34.6% were diagnosed with initial chest plain X-ray.The overall cure rate was 93.33%.Conclusion The causes of delayed and missed diagnosis included changing procedure of diaphragmatic herniaton,and critical condition of the patients with multitrauma,against which the measures taken be included with keeping consistent observation,repeating chest plain X-ray.When the diagnosis of diaphragmatic hernia was established,emergency operation be performed.
出处
《临床外科杂志》
2005年第6期342-343,共2页
Journal of Clinical Surgery
关键词
创伤
膈疝
诊断
急诊
trauma
diaphragmatic hernia
diagnosis
emergency
