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目的:探讨创伤性膈疝的诊断与治疗方法。方法:回顾性分析1995年~2004年收治的26例创伤性膈疝患者,对其诊治方法和并发症进行总结评价。结果:全组开放性伤17例,闭合性伤9例。18例合并其他脏器损伤。行剖胸探查14例,剖腹探查8例,同时剖胸剖腹探查3例,胸腔镜检查修补1例。术后死亡l例,发生并发症6例(23.1%)。结论:早期诊断和手术治疗;是减少并发症的根本措施。
Objective: To investigate the diagnosis and treatment of traumatic diaphragmatic hernia. Methods: A retrospective analysis of 26 cases of traumatic diaphragmatic hernia admitted between 1995 and 2004 was conducted, and its diagnosis and treatment methods and complications were summarized and evaluated. Results: The whole group of open wounds in 17 cases, 9 cases of closed injury. 18 cases combined with other organ damage. There were 14 cases of thoracotomy, 8 cases of laparotomy, 3 cases of laparotomy and 1 case of thoracoscope repair. Postoperative death in 1 case, complications occurred in 6 cases (23.1%). Conclusion: Early diagnosis and surgical treatment are the fundamental measures to reduce complications.