手术治疗9例创伤性膈疝,均治愈。发病机理与胸腹部直接暴力、胸腹腔压力差、腹腔脏器冲击膈肌以及手术创伤有关。隔肌裂伤无腹腔脏器移位至胸腔者多无症状,诊断困难。合并其它脏器损伤常误诊。X线特异表现及其动态观察甚为重要。手术常用经胸径路,治疗效果良好。 Surgical treatment of 9 cases of traumatic diaphragmatic hernia, were cured. Pathogenesis and thoracic and abdominal direct violence, abdominal and abdominal pressure, abdominal viscera and the impact of surgical trauma related. Diaphragm rupture without abdominal organs shift to pleural as many as asymptomatic, diagnosis difficult. Combined with other organ damage often misdiagnosed. X-ray findings and its dynamic observation is very important. Surgical thoracic path commonly used, the treatment effect is good.