创伤性膈疝12例诊治分析

目的总结创伤性膈疝的诊断与治疗经验。方法对12例创伤性膈疝的临床资料进行回顾性分析与总结。结果全组术前确诊10例（83．3％），治愈10例，死亡2例（16．2％）。结论胸腹部创伤患者应警惕膈肌的损伤，CT或x线检查是诊断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，降低病亡率的关键。

Diagnosis and treatment of 12 patients with traumatic diaphragmatic hernia

Objective To summarize the diagnosis and surgical treatment experiences of traumatic diaphagmatic hernia. Methods Clinical data of 12 patients with traumatic diaphragmatic hernia were analyzed retrospectively. Results The diagnosis was established preoperatively in 10 cases(83. 3% ) ,10 patients were cured and 2 cases died( 16.2% ). Conclusion The possible diaphragmatic injury in the patients with thoracic and abdominal injuries should be alerted. Diagnosis could be made based on CT and radiography. Early diagnosis, timely operation were the key to improve the cure rate and reduce mortality.