创伤性膈肌破裂的诊断及外科治疗

Diagnose and Surgical Therapy of Traumatic Rupture of the Diaphragm

目的:探讨创伤性膈肌破裂的诊断及外科治疗方法,以提高其治愈率。方法:回顾性分析24例创伤性膈肌破裂患者的临床资料,并结合文献,对其发生机制、早期诊断及外科治疗进行讨论。结果:除3例死于合并损伤所致休克外,其余均痊愈。结论:创伤性膈肌破裂常伴并发伤,伤势较严重,容易漏诊;早期诊断和合理外科治疗是提高其治愈率的关键。

Objective:To explore the diagnosis and surgical therapy of traumatic rupture of the diaphragm to raise the cure rate. Methods:Analyzing the clinical data of 24 patients with traumatic rupture of the diaphragm retrospectively and integrate the literature, the mechanism, early diagnosis and surgical therapy were discussed. Results:Except the causes of death of 3 patients were shock revoked by associated injury, all the patients were healed. Conclusions:Traumatic rupture of the diaphragm usually affiliated other associated injury. The traumatic condition is serious and easily missed diagnosis. The key point for raise the cure rate is early diagnosis and reasonable surgical therapy.