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目的探讨创伤性膈疝的病因 ,早期诊断 ,鉴别诊断与治疗的方法。方法对 12例创伤性膈疝患者临床资料进行回顾分析。结果左侧 11例 ,右侧 1例 ;术前诊断 10例 ,误诊 2例 ;均行急诊膈肌修补术 ,10例经胸切口 ,2例经腹切口。 12例均治愈出院。结论创伤性膈疝术前应详细检查 ,结合 X线、CT、MRI并于术中检查膈肌。对创伤性膈疝的治疗采用急诊手术 ,效果最佳。
Objective To investigate the etiology, early diagnosis, differential diagnosis and treatment of traumatic diaphragmatic hernia. Methods The clinical data of 12 patients with traumatic diaphragmatic hernia were retrospectively analyzed. Results The left side in 11 cases, right side in 1 case; preoperative diagnosis of 10 cases, 2 cases of misdiagnosis; emergency diaphragm repair, 10 cases of transthoracic incision, 2 cases of abdominal incision. All 12 patients were cured. Conclusion Traumatic diaphragmatic hernia should be carefully examined before surgery, combined with X-ray, CT, MRI and intraoperative examination of the diaphragm. The treatment of traumatic diaphragmatic hernia by emergency surgery, the best.