伴膈肌破裂的胸腹联合伤27例临床分析

Clinical analysis of 27 cases of thoraco-abdominal injury with diaphragmatic rupture

目的 探讨伴膈肌破裂的胸腹联合伤临床特点及诊治经验。方法 伴膈肌破裂的 2 7例胸腹联合伤患者的致伤原因、损伤器官、诊治方法进行临床分析。结果 本病伤情复杂 ,常为多器官损伤 ,有些器官损伤的临床症状隐蔽。本组 2 6例行手术治疗 ,全组治愈2 4例 ,死亡 3例 ,病死率 11.1%。结论 早期确诊、及时正确的手术治疗是减少并发症、降低该病病死率的关键。

Objective To study the clinical features and treatment experience in the treatment of thoraco abdominal injury with diaphragmatic rupture.Methods Clinical data of 27 patients suffering from thoraco-abdominal injury with diaphragmatic rupture were analysed retrospectively.Results Injuries of this kind are usually complicated involving mostly the organ injuries,which are not obvious in clinical indications. In the present study group,27 cases were treated surgically,of whom 24 healed and 3 died(11.1%).Conclusion Early diagnosis and timely operation are the key steps in reducing the complications and mortality.