Clinical Evaluation of Traumatic Diaphragmatic Injuries.
- Author:
Sung Joo LEE
1
;
Won Mo KOO
;
Seong Cheol MOON
;
Dae Sig KIM
;
Chang Hoe KIM
;
Sung Soo CHAE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Diaphragm;
Trauma
- MeSH:
Abdomen;
Diaphragm;
Humans;
Male;
Seoul;
Sex Ratio;
Shock;
Thorax;
Viscera;
Wounds, Nonpenetrating
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(10):1005-1009
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diaphragm injuries are very important because, if both thoracic and abdominal viscera are damaged, a combination of shock and acute respiratory distress may develop. It can be highly lethal. This evaluation was based on the reviews of 17 cases of traumatic diaphragm injuries treated at the Department of Cardiovascular Surgery, Seoul Adventist Hospital during 5 years from March 1993 to February 1997. The mean age of the patients was 37.2 years and sex ratio was 3.2:1 with male dominance. Blunt trauma(N=5, Rt.=4, Lt.=1) was 29.5%, penetrating trauma(N=12, Rt.=5, Lt.=7) was 70.5%. Dyspnea(76%) was the most common symptom. Blunt trauma(9.8 3.7 Cm) was larger than the penetrating trauma(3.2 1.3 Cm)(P<0.05) in the size(mean SD) of the injury. All of the patients had associated injuries and repaired immediatley with thoracic approach 11 cases(64%), abdominal approach 3 cases(18%) and thoracoabdominal approach 3 cases(18%). 5 cases of penetrating diaphragmatic trauma was diagnosed on the operation of other organ injury. Now we suggest that diaphragmatic injury should be suspected in all patients with penetrating as well as blunt injury of the chest and abdomen to protect the patient from its late complications.
