创伤性膈疝的早期诊断及误诊原因分析

The analysis of the causes of early diagnosis and misdiagnosis of traumatic diaphragmatic hernia

目的分析创伤性膈疝的早期诊断及误诊原因。方法选取50例创伤性膈疝患者,回顾性分析其临床资料,探究创伤性膈疝的诊断方法及误诊原因。结果 50例创伤性膈疝在入院时有44例确诊,3例未明确诊断,后经开胸探查术确诊;3例误诊,误诊率为6.0%;CT对创伤性膈疝确诊率(70.0%)较高;本组患者经过手术治疗后,均痊愈出院。结论创伤性膈疝表现复杂,容易出现误诊,进而耽误患者的治疗,CT具有较高的诊断价值,能尽早发现病变,使患者得到早期治疗。

Objective To analyze the causes of early diagnosis and misdiagnosis of traumatic diaphragmatic hernia. Method 50 cases of traumatic diaphragmatic hernia were selected in 2005~2014 year in December admitted to the retrospective analysis of the clinical data, diagnosis methods and the causes of misdiagnosis of inquiry of traumatic diaphragmatic hernia. Result 50 cases of traumatic diaphragmatic hernia 44 cases diagnosed on admission,3 cases were diagnosed by thoracic exploring operation,3 cases were misdiagnosed, the misdiagnosis rate was 6%; the CT rate（70. 0%） is higher for traumatic diaphragmatic hernia diagnosed;this group of patients into the treatment after operation, were cured and discharged. Conclusion Traumatic diaphragmatic hernia complicated performance, easily lead to misdiagnosis and delayed treatment of patients, CT has higher diagnostic value, can find the disease early, make patients get early treatment.