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目的 探讨儿童膈肌破裂的特点 ,以便早期诊断及治疗。方法 总结 30a来 76例膈肌破裂的特点及并发损伤的诊断和治疗。结果 本组膈肌破裂左侧 5 6例 ,右侧 15例 ,双侧 5例。人工气腹提高诊断率达 90 % ,经腹横切口能处理右侧及双侧膈肌破裂。结论 儿童膈肌破裂病情严重 ,对可疑患儿应行人工气腹 ,提高诊断率 ,右侧及双侧膈肌破裂经腹横切口值得推广。
Objective To investigate the characteristics of children with diaphragmatic rupture for early diagnosis and treatment. Methods The characteristics of 76 cases of diaphragmatic rupture and the diagnosis and treatment of concomitant injury in 30 cases were summarized. Results In this group, 56 cases were left-sided diaphragmatic rupture, 15 cases were right-sided and 5 cases were bilateral. Artificial pneumoperitoneum to improve the diagnostic rate of 90%, through the transverse incision can handle the right and bilateral diaphragm rupture. Conclusions Children with diaphragmatic rupture are seriously ill. Children with suspicious infants should be treated with artificial pneumoperitoneum to improve the diagnostic rate. The right and bilateral diaphragmatic ruptures should be popularized through transversal transverse incision.