目的报告32例膈肌破裂与创伤性膈疝的诊治体会。方法对该院收治的32例创伤性膈肌破裂进行回顾性分析。结果该32例中,开放性损伤12例,闭合性损伤20例,26例并发创伤性膈疝。经X线检查,18例有阳性发现; 16例行CT检查,结果均为阳性; 术前确诊24例(75%),治愈28例,死亡4例(12.5%)。结论CT和X线检查是诊断膈肌破裂和创伤性膈疝的主要依据。早期诊断、及时手术治疗是提高治愈率、降低死亡率的关键。
Citation:
武有林,严星荣. Diagnosis and Treatment of Traumatic Rapture of Diaphragm (Report of 32 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(1): 54-55. doi:
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牟宏顺,王福忠,周志道,等. 创伤性膈疝的诊断和治疗 [J]. 中华外科杂志, 1983; 23(6)∶356.
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郑镇木,蒋仁超,国斌,等.创伤性膈疝的诊断和治疗 [J]. 中国实用外科杂志, 1999; 19(7)∶406.
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Israel RS, McDaniel PA, Primack SL, et al. Diagnosis of diaphragmatic trauma with helical CT in a swine model [J]. Am J Roentgenol, 1996; 167(3)∶637.
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- 1. 牟宏顺,王福忠,周志道,等. 创伤性膈疝的诊断和治疗 [J]. 中华外科杂志, 1983; 23(6)∶356.
- 2. 郑镇木,蒋仁超,国斌,等.创伤性膈疝的诊断和治疗 [J]. 中国实用外科杂志, 1999; 19(7)∶406.
- 3. Israel RS, McDaniel PA, Primack SL, et al. Diagnosis of diaphragmatic trauma with helical CT in a swine model [J]. Am J Roentgenol, 1996; 167(3)∶637.