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目的分析创伤性膈疝的诊断、外科治疗和预后。方法对1999年1月2010年1月收治的16例创伤性膈疝的临床资料进行回顾性分析。结果 16例均行手术治疗,胸腹腔脏器损伤处理后行膈肌修补,2例手术后死亡,14例痊愈出院。结论创伤性膈疝常合并多发伤,胸腹部X线平片、钡餐检查及胸部、上腹部CT扫描不仅能对膈疝做出正确的诊断,对临床手术指导具有重要的意义。诊断一旦明确,须及时手术治疗,方能降低病死率。
Objective To analyze the diagnosis, surgical treatment and prognosis of traumatic diaphragmatic hernia. Methods The clinical data of 16 cases of traumatic diaphragmatic hernia admitted in January 1999 and January 2010 were analyzed retrospectively. Results All the 16 cases underwent surgical treatment. The abdominal and abdominal organs were treated with diaphragmatic repair after injury. Two cases died after operation and 14 cases were cured. Conclusions Traumatic diaphragmatic hernia is often associated with multiple traumatic injuries. X-ray and barium meal examination of thorax and abdomen and CT scan of chest and upper abdomen not only make correct diagnosis of diaphragmatic hernia, but also have important meanings for clinical operation guidance. Once the diagnosis is clear, to be timely surgical treatment, can reduce the case fatality rate.