Preoperative diagnosis and operative route of traumatic diaphragmatic rupture
10.3760/cma.j.issn.1673-4904.2012.08.004
- VernacularTitle:创伤性膈肌破裂术前诊断及手术入路探讨
- Author:
Wenfeng ZHANG
;
Shijie LI
;
Huaihao TANG
;
Runqing ZHAN
;
Zaiqi MA
;
Yu LI
;
Lin ZHANG
- Publication Type:Journal Article
- Keywords:
Diagnosis;
Diaphragmatic rupture
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(8):8-10
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study preoperative diagnosis and operative route of traumatic diaphragmatic rupture in order to improve postoperative quality of patients' life.MethodsA retrospective analysis was carried out in 63 patients with traumatic diaphragmatic rupture,all that were identified through operation from January 1990 to March 2009.All cases were associated with pneumothorax and/or hemopneumothorax at various degrees.Forty-nine cases complicated with acute peritonitis and 41 cases complicated with hemorrhagic shock.Thirty-seven cases were diagnosed definitely preoperatively,22 cases were found in operations research,4 cases with inefficacious conservation converted to operation.Thoracotomy was performedin 24 cases,laparotomy in 14 cases,combined thoracolaparotomy in 8 cases and thoracotomy plus laparotomy in 17 cases.ResultsFifty-seven cases recovered,6 cases died of hemorrhagic shock (2 cases),pericardial tamponade ( 1 case),acute respiratory failure ( 1 case) and acute renal failure at postoperative 1 week (2 cases).ConclusionDefinite and timely preoperative diagnosis and correct operative approach are striving the rescue time and success and avoiding complication.
