论文部分内容阅读
目的总结创伤性膈肌破裂的诊断及治疗经验。方法回顾性分析两家医院15年收治的创伤性膈肌破裂的诊治经过,总结其诊断及治疗的经验。手术方法采用经胸修补45例;经腹修补39例;胸腹联合切口12例。结果治愈88例,死亡8例,病死率8%。结论胸腹部外伤应警惕膈肌破裂的可能。早期诊断,选择合适的手术入路和术中仔细的探查是降低病死率的关键。
Objective To summarize the diagnosis and treatment of traumatic diaphragmatic rupture. Methods The diagnosis and treatment of traumatic diaphragmatic rupture treated in both hospitals for 15 years were retrospectively reviewed. The diagnosis and treatment experience were summarized. Forty-five cases were treated by transthoracic surgery; 39 cases were treated by abdominal repair; 12 cases were treated by thoracoabdominal incision. Results of 88 cases were cured, 8 died, the mortality rate of 8%. Conclusion Thoracoabdominal trauma should be alert to the possibility of diaphragmatic rupture. Early diagnosis, select the appropriate surgical approach and careful exploration of surgery is the key to reducing mortality.