创伤性膈疝的诊断和治疗

Diagnosis and surgical management for the traumatic diaphragmatic hernia

为了理解创伤性膈疝的临床表现、诊断要点、手术方法和预后结果,本文回顾性的分析了我院收治的11例创伤性膈疝,强调指出创伤性膈疝因常常伴有其他严重合并伤,又缺乏典型的临床表现,常导致误诊。胸部平片和胃肠造影对本病的诊断有很大帮助。本病一经确诊,均应尽早手术,经胸部切口手术适于绝大多数病人。预后主要取决于合并伤的严重程度。

In order to understand the clinical manifestations, diagnosis methods, surgical management and prognosis of the traumatic diaphragmatic hernia, 11 cases of traumatic diaphragmatic hernia were presented here and retrospectively analysed. It is emphasized that most traumatic diaphragmatic hernia is tended to misdiagnosis because of the severe associated injuries and the lack of typical clinical manifestations. The chest X-ray and barium meal are the most helpful methods for diagnosis. Patients with traumatic diaphragmatic hernia should be operated on as soon as possible, and most operations can be finished by a thoracic incesion. The prognosis is mostly determinde to the severity of the associated injuries.