腹部闭合性损伤致膈疝的诊治分析  

作　　者：夏林虎 赵晓宁 骆学全 

机构地区：[1]广东省肇庆端州区人民医院外科,526040

出　　处：《当代医学》2009年第34期1-2,共2页Contemporary Medicine

摘　　要：目的总结创伤性膈疝早期诊断与治疗的经验,提高临床诊治水平,并提高对膈疝及膈肌破裂致膈疝的认识,为完善诊治方法创造条件。方法回顾性分析1999～2008年我院收治的16例创伤性膈疝病例,并对因腹部闭合性损伤所致的2种不同类型膈疝所特有的临床表现、体征、手术方式及诊治经验进行分析。结果均急诊手术探查,并进行抗休克、抗感染及对症处理,治愈率达100%。结论创伤性膈疝早期行胸部X线、B超和胸部CT检查是确诊的依据;早期诊断和手术,正确处理合并伤,是提高创伤性膈疝治愈率的关键。Objective To summarize the experience of the early diagnosis and treatment of the traumatic diaphragmatic hernia, to improve the level of the clinical diagnosis and treatment. To enhance the comprehension of the diaphragmatic hernia and the diaphragmatic, hernia caused by the diaphragmatic rupture. To grasp the particularity of the diaphragmatic hernia and diaphragmatic hernia caused by the diaphragmatic rupture. To create conditions so that we can perfect the diagnosis and treatment methods. Methods The author has retrospectively studied 16 cases of the traumatic diaphragmatic hernia from 1999 to 2008 in our hospital. The author has also studied the specific clinical manifestations and signs, the surgical approach and the experience of the diagnosis and treatment, about which are tow kinds of different types of diaphragmatic hernia due to the blunt abdominal trauma. Results The above mentioned cases were all performed the emergency surgical exploration and were all performed anti-shock and anti-infection and symptomatic treatment. Conclusion The diagnosis of the traumatic diaphragmatic hernia is based on the early chest X-ray and B ultrasound and the early chest CT. The key methods that are to improve the cure rate of the traumatic diaphragmatic hernia are the early diagnosis and surgery and right deal with merger injury.

关 键 词：腹部闭合性创伤 单纯性膈疝 膈肌裂伤致膈疝 

分 类 号：R656.1[医药卫生—急诊医学] R655.6[医药卫生—外科学]