Diagnosis and treatment of traumatic diaphragmatic hernia ( a report of 23 cases)
- VernacularTitle:创伤性膈疝的诊治(附23例分析)
- Author:
Qi HE
;
Wei WANG
;
Yu WANG
;
Yongsheng WANG
- Publication Type:Journal Article
- Keywords:
HERNIA DIAPHRAGMATIC, TRAUMATIC/diag;
HERNIA, DIAPHRAGMATIC, TRAUMATIC/ther;
DIAGNOSTIC ERRORS
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the early diagnosis and treatment of traumatic diaphragmatic hernia(TDH). Methods Retrospective analysis of the clinical data of 23 cases of TDH was made. Result 12 cases(51%) were preoperatively diagnosed,10 cases(43.5%) misdiagnosed,1 case was misdiagnosed during exploration laporatomy. 20 cases(86.9%) were cured and 3(13.1%) died. 1 case died of toxic shock because of misdignosis resulted in intestinal strangulation. Conclusions Increasing knowledge, dynamic observation of the disease and X-ray, promptly exploration can reduce the rate of misdiagnosis of TDH. With early diagnosis and treatment, most cases of TDH can be cured. The main cause of the death results from delayed diagnosis and treatment, and not related to TDH itself.
