摘要
总结33例膈有损伤的诊断与治疗经验,其中穿透性损伤16例,闭合性损伤17例,32例(97%)合并其它脏器伤。经胸手术6例,经腹手术28例,其中1例为腹剖手术后又开胸。术前确诊24例(72%)。全组死亡4例,死亡率12.1%。病人主诉和体检所见常是合并伤的表现,而胸部X线检查是最可靠的诊断方法。术前对膈甩损伤的高度警惕和术中仔细检查膈肌是减少漏诊的关键。早期剖腹手术无论对左侧或右侧膈肌损伤均是
Objective:Studying some characteristics in diagnosis and treatment of injury of the diaphragm.Method:Summarized the diagnosis and treatment of 33 cases of injury of the diaphragm.Of the 33 cases,16 resulted from penetrating injuries and 17 due to closed injuries.97% of the patients had other associated injeries.Thoracotomy in 6 cases and laparotomy in 28,including one case requiring subsequent thoracotomy.Result:The diagnosis was established preoperatively in 24 cases(72.7%).The overall mortality rate was 12.1%(4/33).Conclusion:Patients' chief complaints and physical examination findings were usually the manifestations of the associated injuries.Chest X ray is the most reliable method for making a diagnosis.The key in reducing misdiagnosis is being alert to the possibility of diaphragm of injury before operation and careful inspection of the diaphragm at operation.Initial laparotomy was a better operative approach for exploring either right or left diaphragmatic injury or for surgical repair.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1997年第5期290-292,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
膈肌损伤
诊断
治疗
Injuries of the diaphragm Diagnosis Treatment