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目的 总结膈肌破裂和创伤性膈疝的诊治方法。方法 回顾性分析16例创伤性膈肌破裂和膈疝病例，其中穿透伤6例，闭合伤10例，16例进行X线检查。9例有阳性发现，8例进行CT检查。均为阳性，结果 术前确诊12例（75.0%)，治愈14例，死亡2例（12.5%)。结论 CT和X线检查是诊断膈肌破裂和创伤性膈疝的主要诊断依据。早期诊断，及时手术是提高治愈率，降低病死率的关键。

Diagnosis and treatment of diaphragmatic rupture and traumatic diaphragmat ic hernia

Objective To summarize the diagnosis and treatment of diaphragmatic rupture and traumatic diaphragmatic hernia.Methods The clinical data of 16 patients treated for traumatic diaphragmatic rupture and diaphragmatic hernia were analyzed retrospectively.Among the 16 cases,6 resulted from penetrating injuries and 10 due to closed injuries.Of the 16 cases,9 were diagnosed accurately by radiography.Of the 8 cases,all were diagnosed accurately by CT.Results The diagnosis was established preoperatively in 12 cases(75\^0%),14 patients were cured and 2 died(12\^5%).Conclusion Diagnosis can be made based on CT and radiography.Early diagnosis,timely operation are the key to improve the cure rate and reduce mortality.