穿透性膈肌损伤在和平时期较为少见，这种损伤除因腹腔内脏器经膈肌裂口进入胸腔，引起呼吸及循环功能紊乱外，胸腔和腹腔常同时遭受损伤，引起大出血和胃肠穿孔，使伤情甚为复杂，休克的发生率高，容易误诊，死亡率较高〔１〕。我院１９８４年１月至１９９７年１２月经手... Penetrating diaphragmatic injury is rare in peacetime, except for intra-abdominal organs through the diaphragmatic fissure into the chest, causing respiratory and circulatory disorders, the chest and abdomen often suffer the same injury, causing bleeding and gastrointestinal perforation, the injury Love is very complicated, high incidence of shock, easy misdiagnosis, high mortality 〔1〕. Our hospital from January 1984 to December 1997 menstruation ...