Watchful questions on diagnosis and treatment of traumatic diaphragmatic rupture and diaphragmatic hernia
10.3760/cma.j.issn.1673-4904.2011.29.012
- VernacularTitle:创伤性膈肌破裂及膈疝在诊断和治疗中应注意的问题
- Author:
Wenshun XU
;
Hanping XU
;
Xiaojing XU
;
Yinyin LI
- Publication Type:Journal Article
- Keywords:
Hernia,diaphragmatic,traumatic;
Diagnosis;
Therapy
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(29):34-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics and the treatments on traumatic diaphragmatic rupture and diaphragmatic hernia.Method A retrospective study was carried out in 49 cases of traumatic diaphragmatic rupture and diaphragmatic hernia.Results There were 32 cases with left diaphragmatic hernia,13 cases with right diaphragmatic hernia and 4 cases with bilateral diaphragmatic hernia.One case with closed combined thoraco-abdominal wound and shock,died of multiple organ failure after the surgery,3 cases were diagnosed more than 24 h after injury,the others closed injury patients were diagnosed within 24 h and cured.In patients with open diaphragmatic rupture and diaphragmatic hernia,16 cases underwent laparotomy surgery,5 cases of misdiagnosis experienced re-thoracotomy,7 cases thoracotomy,2 cases changed the thoraco-abdominal surgery.Three cases underwent thoraco-abdominal surgery.Twenty-five cases were cured; 1 patient with suppurative costal chondritis,duration up to 13months.Conclusion Traumatic diaphragmatic rupture and diaphragmatic hernia is easily missed and misdiagnosed,the establish of rational examination preoperatively can reduce complications,misdiagnosis and mortality.
