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目的：探讨外伤性膈疝的早期诊断。方法：回顾性分析１９８０～１９９２年间收治的１１例外伤性膈疝，其中误诊６例，漏诊２例，总结经验教训。结果：①重视外伤史，掌握外伤性膈疝的临床特点，提高对本病的警惕性；②结合临床，认真分析胸片；③选择性应用Ｂ超、ＣＴ等检查技术；④腹部外伤行剖腹探查手术时常规探查两侧膈肌是提高早期诊断的关键。结论：处理胸腹部外伤要想到并发膈疝的可能，治疗外伤性膈疝早期诊断是关键
Objective: To investigate the early diagnosis of traumatic diaphragmatic hernia. Methods: A retrospective analysis of 11 cases of traumatic diaphragmatic hernia admitted between 1980 and 1992, including 6 cases of misdiagnosis, 2 cases of missed diagnosis, summed up the experience and lessons. Results: ①To pay attention to the history of trauma, to grasp the clinical features of traumatic diaphragmatic hernia, to improve the vigilance of the disease; ② to combine the clinical, careful analysis of the chest radiograph; ③selective application of B, CT and other examination techniques; ④ abdominal trauma laparotomy Routine routine exploration of both sides of the diaphragm is to improve the early diagnosis of the key. Conclusion: The treatment of chest and abdomen trauma to think of the possibility of concurrent diaphragmatic hernia, early diagnosis of traumatic diaphragmatic hernia is the key