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目的总结创伤性膈疝的诊疗经验。方法对我院1976年6月~2004年10月所收治的创伤性膈疝30例进行回顾性分析。结果创伤性膈疝的病因以交通事故最多见,胸部平片检查确诊率34.6%,全组治愈28例(93.33%)。2例因多脏器功能衰竭死亡(6.66%)。随访16例,无复发。结论创伤性膈疝延误诊断与膈疝形成过程、病情危重等因素有关,动态观察伤员病情变化,及时复查胸部平片是防止延误诊断的主要措施。创伤性膈疝确诊后应急诊手术。
Objective To summarize the experience of traumatic diaphragmatic hernia. Methods Thirty patients with traumatic diaphragmatic hernia admitted from June 1976 to October 2004 in our hospital were retrospectively analyzed. Results The causes of traumatic diaphragmatic hernia were the most common in traffic accidents. The diagnosis rate of chest plain radiography was 34.6%. All the patients were cured in 28 cases (93.33%). Two patients died of multiple organ failure (6.66%). Follow-up 16 cases, no recurrence. Conclusion Delayed diagnosis of traumatic diaphragmatic hernia is related to the formation of diaphragmatic hernia, critical condition and other factors. Dynamic observation of the changes of the condition of the injured patient and the prompt review of chest radiographs are the main measures to prevent the delayed diagnosis. Traumatic diaphragmatic hernia diagnosis after emergency surgery.