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目的探讨创伤性膈疝的诊断及外科治疗。方法回顾性分析2005年1月至2009年1月收治创伤性膈疝32例患者临床资料。结果右侧4例,左侧28例,膈肌破裂长度5～17 cm;疝入胸腔的脏器右侧多为肝脏和胃,左侧以胃、脾、结肠、空肠为多见,其次为小肠及大网膜。30例治愈,均在术后2周内痊愈出院,随访1～3年无复发;2例死亡,死于多脏器功能衰竭。结论创伤性膈疝通过询问病史、体格检查、相关检查提高早期诊断水平,及时手术、选择修补方式,同时并积极处理其他合并伤以改善预后。
Objective To investigate the diagnosis and surgical treatment of traumatic diaphragmatic hernia. Methods The clinical data of 32 patients with traumatic diaphragmatic hernia admitted from January 2005 to January 2009 were retrospectively analyzed. Results The right side of the four cases, the left side of the 28 cases, the length of the rupture of the diaphragm 5 to 17 cm; hernia into the right side of the thoracic organs mostly liver and stomach, left to the stomach, spleen, colon, jejunal more common, followed by the small intestine And omentum. 30 cases were cured, were cured within 2 weeks after surgery, follow-up 1 to 3 years without recurrence; 2 died, died of multiple organ failure. Conclusions Traumatic diaphragmatic hernia improves early diagnosis through history, physical examination and related examinations, promptly operates and chooses the method of repair, and actively treats the other combined injuries to improve the prognosis.