小儿膈肌破裂的诊治

Diagnosis and treatment of diaphragmatic rupture in children

目的 探讨儿童膈肌破裂的特点 ,以便早期诊断及治疗。方法 总结 30a来 76例膈肌破裂的特点及并发损伤的诊断和治疗。结果 本组膈肌破裂左侧 5 6例 ,右侧 15例 ,双侧 5例。人工气腹提高诊断率达 90 % ,经腹横切口能处理右侧及双侧膈肌破裂。结论 儿童膈肌破裂病情严重 ,对可疑患儿应行人工气腹 ,提高诊断率 ,右侧及双侧膈肌破裂经腹横切口值得推广。

Objective To search for the characteristics of diaphragmatic rupture in children for earlier diagnosis and treatment. Methods The characteristics of diaphragmatic injuries and the diagnosis and treatment of complicated injuries were summarized. Result There were 76 diaphragmatic injuries, 56 left,15 right, 5 bilateral.Artificial pneumoabdomen can improve diagnostic rate by 90% and horizontal incision was successfully used to deal with right and bilateral diaphragmatic injuries. Conclusion If diaphragmatic injuries in children are severe, artificial pneumoabdomen and horizontal incision can be conducted in suspected sick children to improve diagnostic rate and trans-abdominal horizontal incision is worth popularizing for right and bilateral diaphragmatic ruptures.