摘要
本文对我院1979年至1986年收治创伤性膈疝9例(其中开放性损伤2例、闭合性损伤7例)的诊断、治疗提出了讨论。本病的诊断关键在于对胸腹部损伤的病人应想到有膈疝的可能性,对可疑患者及时拍摄X线胸片,提高阅片能力,胸腹部外伤手术时常规探查膈肌。治疗时凡有条件者均应在气管插管全麻下进行手术,术中注意正压呼吸。
In this paper, the diagnosis and treatment in 9 cases of traumatic diaphragmatic hernia admitted during 1979 to 1986 were discussed. The key to diagnose the diseases was the possibility of traumatic diaphragmatic hernia which should be considered. To those suspected patients, X-rays chest film must be taken promptly and routine exploration of the diaphragma during operatiom in patients with thoracoabdorninal injury was very important for the establishment of the diagnoses. If possible, operation should be performed under general anethesia with endotraeheal intubation and positive pressure ventilation properly maintained.
出处
《中南医学科学杂志》
CAS
1987年第2期144-145,189,共3页
Medical Science Journal of Central South China
关键词
外伤性膈疝
诊断和治疗
trumatic
diaphragmetic
hernia
diagnosis
and
treatment
