期刊文献+

急性创伤性膈肌破裂的早期诊断与治疗 被引量:4

原文传递
导出
摘要 目的总结急性创伤性膈肌破裂的早期诊治经验。方法回顾性分析1996年8月至2012年8月内江市第一人民医院收治的37例急性创伤性膈肌破裂行外科手术治疗患者的临床资料,男30例,女7例;年龄15~43岁。左侧膈肌破裂26例,右侧膈肌破裂11例。直接暴力损伤16例,间接暴力损伤21例。交通伤17例,刀刺伤13例,高处坠落伤4例,枪弹伤2例,钢筋穿透伤1例。对其发病原因、合并伤、诊断及手术方式进行分析。结果术前确诊26例,术中探查确诊11例。治愈33例,死亡4例,病死率10.81%。4例均合并有多器官损伤,死亡原因:失血性休克、多器官功能衰竭。随访25例,随访时间4个月至10年,患者生活质量良好。结论早期诊断和积极手术治疗是救治创伤性膈肌破裂的关键。动态观察伤员病情变化,及时行胸部X线片或CT检查是早期诊断膈肌破裂的主要措施,一旦确诊膈肌破裂均应行外科手术治疗。
出处 《中国胸心血管外科临床杂志》 CAS 2013年第4期484-485,共2页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
  • 相关文献

参考文献11

  • 1Esme H, Solak O, Sahin DA, et al. Blunt and penetrating traumatic ruptures of the diaphragm. Thorac Cardiovasc Surg, 2006, 54 ( 5 ) : 324-327.
  • 2Kuppusamy A, Ramanathan G, Gurusamy J, et al. Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case report. Ulus Travma Acil Cerrahi Derg, 2012, 18 (2) : 175-177.
  • 3Nwafor IA, Eze JC, Aminu MB. Traumatic diaphragmatic rupture through the central tendon with herniation of the stomach and coils of small bowel into the pericardial cavity. Niger J Med, 2011, 20 (4) : 492-493.
  • 4Hwang SW, Kim HY, Byun JH matic rupture of the diaphragm. 2011,44(5): 348-354. Management of patients with tran- Korean J Thorac Cardiovasc Surg,.
  • 5Bocchini G, Guida F, Sica G, et al. Diaphragmatic injuries after blunt trauma: are they still a challenge ? Reviewing CT findings and integrated imaging. Emerg Radiol, 2012, 19 ( 3 ) : 225-235.
  • 6Vyhnnek F, Jirava D, Skgda P, et al. The spectrum of diaphragmatic injuries managed in a prague traumatology centre. Rozhl Chit, 2011, 90(7): 377-381.
  • 7王启,任清泉,杨扬.闭合伤致膈肌破裂的诊断与治疗[J].中国胸心血管外科临床杂志,2010,17(2):175-175. 被引量:3
  • 8Kuo IM, Liao CH, Hsin MC, et al. Blunt diaphragmatic rupture-- a rare but challenging entity in thoracoabdominal trauma. Am J Emerg Med, 2012, 30(6): 919-924.
  • 9Shimizu K, Ochiai H, Matsushita K, et al. Traumatic rupture of diaphragm with splenic injury. Kyobu Geka, 2012, 65 (2) : 125-127.
  • 10A1-Nouri O, Hartman B, Freedman R, et al. Diaphragmatic rapture: Is management with biological mesh feasible ? Int J Surg Case Rep, 2012, 3(8): 349-353.

二级参考文献6

共引文献2

同被引文献29

  • 1Daldoul S, Moussi A, Mokded N, et al. Blunt left diaphragmatic rupture [ J]. Tunis Med,2012,90(3 ) :273-274.
  • 2Hwang SW, Kim HY, Byun JH. Managment of patients with traumatic rupture of the diaphragm, Korean J Thorac Cardiovasc Sury[ J]. 2011, 44(5) :348-354.
  • 3Kuppusamy A, Ramanathan G, Gurusamy J, et al. Delayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case re- port[J]. Ulus Travma Aeil Cerrahi Derg,2012,18(2):175-177.
  • 4Sozen S, Aysu F, Elkan H, et al. Evaluation of an acute mechanic in- testinal obstruction case secondary to diaphragm rupture due to a blunt traumao [ J ]. Ulus Travma Acil C errahi Derg ,2012,18 (1) :95-98.
  • 5Bocchini G, Guida F, Sica G, et al. Diaphragmatic injuries after blunt trauma:are they still a challenge? Reviewing CT findings and integrat- ed imaging[ J]. Emerg Radio1,2012,19 ( 3 ) :225-235.
  • 6Shimizu K, Ochiai H, Matsushita K, et al. Traumatic rupture of dia- phragm with splenic injury[ J]. Kyobu Geka,2012,65 (2) :125-127.
  • 7Ogawa F,Naito M,Iyoda A,et al. Report of a rare case:occult hemo- thorax due to blunt trauma without obvious injury to other organs[ J].J Cardiothorac Sury,2013,8 ( 1 ) :205-207.
  • 8A1-Nouri O, Hartman B, Freedman R, et al. Diaphragmatic rupture : Is management with biological mesh feasible? [ J ]. Int J Surg Case Rep,2012,3 (8) :349-353.
  • 9曹翔,魏峰.胸部锐器伤合并腹腔脏器损伤诊治[J].中国现代医生,2008,46(13):156-157. 被引量:6
  • 10陈瑜,刘晓林,夏先进,刘加胜,周卫东,赵忠文,代江波.28例创伤性膈肌破裂的临床分析[J].重庆医学,2010,39(10):1248-1249. 被引量:17

引证文献4

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部