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34例创伤性膈肌破裂的早期诊断和外科治疗
引用本文:李国志,赖登祥,谭益,余鑫,唐胜军,唐烽,张俭荣.34例创伤性膈肌破裂的早期诊断和外科治疗[J].战创伤参考资料,2008,10(2):138-140.
作者姓名:李国志  赖登祥  谭益  余鑫  唐胜军  唐烽  张俭荣
作者单位:重庆三峡中心医院胸心外科,重庆404000
摘    要:目的总结创伤性膈肌破裂(TDR)的早期诊断和外科治疗的临床经验。方法回顾性分析1995年1月-2006年12月我院收治的34例创伤性膈肌破裂(TDR)患者的临床资料,对其发病原因、合并伤、诊断及手术途径分别进行分析。结果34例术前确诊14例,治愈32例,死亡2例。结论早期诊断和积极治疗是救治创伤性膈肌破裂的关键。

关 键 词:创伤  膈肌破裂  诊断  手术
文章编号:1009-4237(2008)02-0138-03
收稿时间:2007-08-16
修稿时间:2007-11-10

Early diagnosis and surgical treatment of traumatic diaphragmatic rupture in 34 patients
Authors:LI Guo-zhi  LAI Deng-xiang  TAN Yi  
Institution:LI Guo-zhi,LAI Deng-xiang, TAN Yi, et al.
Abstract:Objective To summarize the clinical experiences of early diagnosis and surgical treatment of traumatic diaphragmatic rupture in 34 patients. Methods The clinical materials of 34 patients with traumatic diaphragmatic rupture from January 1995 to December 2006 were retrospectively reviewed, and etiology,complicated injury ,diagnosis and surgical approach were analysed. Results Fourteen patients were diagnosed before the surgery. Only one patient died,and 33 patients were cured. Conclusion The early diagnosis and active treatment of complicated injuries is the key to cure the traumatic diaphragmatic rupture.
Keywords:trauma  diaphragmatic rupture  diagnosis  surgery
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