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创伤性膈疝本身常缺乏典型的临床表现,加之合并伤的存在,在受伤早期往往不易做出正确诊断。创伤性膈疝一旦误诊、漏诊或延误诊断,早期可因急性呼吸循环功能衰竭,晚期可因疝入胸腔之腹腔脏器的梗阻或绞窄而危及患者生命,故创伤性膈疝的早期诊断和及时手术是降低病死率、减少并发症和提高治愈率的关键。本文通过对创伤性膈疝误漏诊原因的深入分析,报告了对创伤性膈疝早期诊断的几点体会,并对创伤性膈疝的手术时机、手术进路及围手术期处理等进行了讨论。 1 临床资料
Traumatic diaphragmatic hernia often lack of typical clinical manifestations, combined with the presence of combined injury, early in the injury is often not easy to make a correct diagnosis. Traumatic diaphragmatic hernia once misdiagnosed, missed diagnosis or delayed diagnosis, early due to acute respiratory failure, late due to hernia into the abdominal cavity of the obstruction or strangulation and endanger the lives of patients, it is the early diagnosis of traumatic diaphragmatic hernia and timely surgery Is to reduce mortality, reduce complications and improve the cure rate of the key. This article through the in-depth analysis of the causes of misdiagnosis of traumatic diaphragmatic hernia, reported some of the early diagnosis of traumatic diaphragmatic hernia, and discussed the operation timing, surgical approach and perioperative management of traumatic diaphragmatic hernia. 1 clinical data