创伤性膈肌破裂的诊断与治疗  

Diagnosis and treatment of traumatic rupture of diaphragm

作　　者：戚光祖[1] 武玉兵[1] 刘京峰[1] 

机构地区：[1]山东省临沂市沂水中心医院,山东沂水276400

出　　处：《河北医学》2004年第9期801-802,共2页Hebei Medicine

摘　　要：目的 :总结创伤性膈肌破裂早期诊断与治疗的经验。方法 :对 2 8例创伤性膈肌破裂的临床资料进行性回顾性分析。结果 :伤后 2 4h入院 2 4例 ,伤后 72h入院 2例 ,2个月以上入院 2例。术前确诊 1 6例 ,术中探查确诊 7例 ,误诊或延迟诊断 5例。结论 :创伤性膈肌破裂一般都是严重创伤的并发症 ,易被其它合并症所掩盖而未能早期发现 ,延误病人治疗 ,必须提高对本病认识以早期诊断和治疗。Objective: To review the experience of early diagonosis and treatment of traumatic rupture of diaphagm (TRD).Method: The clinical data of the 28 patients with TRD treated in our hospital were analyzed.Result: Among 28 cases, there were 22 cases after 24h, 2 cases at two months arrived hospital after injury ,16 cases were diagnosed before operations,7 cases were diagnosed in operation, missed or delayed diagnosis 5 cases. Conclusion: Successful treatment depends on early diagnosis and improving the understanding of the injury.

关 键 词：创伤 膈肌破裂 诊断 治疗 

分 类 号：R655.6[医药卫生—外科学]