摘要
目的探讨创伤性膈肌破裂的诊断与治疗。方法回顾性分析26例膈肌破裂患者的临床资料。结果锐器穿透伤14例,钝性伤12例。经胸手术20例,经腹手术6例。23例(88.46%)患者术后痊愈。慢性脓胸2例。3例死亡,死亡率为11.54%。结论创伤性膈肌破裂主要损伤机制为刃器伤和钝性伤,根据症状、体征、胸部X线、CT等检查,能提高诊断率。膈肌破裂一旦确诊,应尽快手术。
Objective:To explore the clinical diagnosis and treatment of traumatic diaphragmatic rupture.Methods:The clinical data of 26 cases of trauma tic diaphragmatic rupture treated in our hospital were analyzed retrospectively. Results:Of 26 cases,there were 14 penetrating injury and 12 closed injury.Thora cotomy was performed in 20 cases and laparotomy in 6 cases.Tweenty-three cases( 88.46%)survived and 3 died (11.54%) after operation.Conclusion:Traumatic diaphr agmatic rupture is produced by either blunt thoracoabodominal trauma or penetra ting wounds of diaphragm.In most patients clinical signs、chest films、CT scanni ng are helpful in establishing the diagnosis.The corresponding opration should b e done as soon as possible.
出处
《实用临床医学（江西）》
CAS
2005年第7期79-80,85,共3页
Practical Clinical Medicine
关键词
创伤
膈肌破裂
诊治
wounds
diaphragmatic rupture
treatment
