目的 :总结急性创伤性膈肌破裂的诊治经验。方法 :回顾性分析 16例急性创伤性膈肌破裂的临床资料 ,其中穿透性 6例 ,闭合伤 10例 ,92 %的病人合并其它脏器损伤 ,手术治疗剖胸 5例 ,剖腹 9例 ,剖胸后剖腹 2例。结果 :术前确诊 12例 (75 % ) ,治愈 14例 ,死亡 2例 (12 .5 % )。结论 :术前应选择合适的检查方法和麻醉方法 ,正确处理合并伤 ,早期诊断、及时手术是提高治愈率 ,降低病死率的关键 Objective: To summarize the diagnosis and treatment of acute traumatic diaphragmatic rupture. Methods: The clinical data of 16 cases with acute traumatic diaphragmatic rupture were retrospectively analyzed. Among them, 6 were penetrating, 10 were closed, 92% were combined with other organ injuries, 5 were operated on thoracotomy, 9 were performed laparotomy, Chest cesarean in 2 cases. Results: Preoperative diagnosis of 12 cases (75%), cured 14 cases, 2 patients died (12.5%). Conclusion: Preoperative choice should be appropriate examination methods and anesthesia methods, correct treatment of combined injury, early diagnosis, timely surgery is to improve the cure rate and reduce the key to mortality