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创伤性膈疝的紧急处理及影响死亡因素分析
引用本文:丁忠阳,盛光杰,徐进宇,黄国荣,叶书高. 创伤性膈疝的紧急处理及影响死亡因素分析[J]. 辽宁医学杂志, 2010, 24(5): 225-227
作者姓名:丁忠阳  盛光杰  徐进宇  黄国荣  叶书高
作者单位:1. 南京医科大学附属无锡人民医院,急诊中心,214023
2. 南京医科大学附属无锡人民医院,心胸外科,214023
摘    要:目的总结创伤性膈疝的死亡原因,诊断与治疗经验、教训,以提高早期诊断率,提高抢救成功率。方法对33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17例,误诊16例。治愈27例,死亡6例。结论创伤性膈疝是一种少见且极易被延误诊断的急性外伤性疾病,延误诊断率较高,因其缺乏特有的症状和体征,医生对此病警惕性不够,常常不能及时诊断。此病一经确诊均需手术治疗。

关 键 词:创伤性膈疝  死亡原因  诊断和治疗

Diagnosis and treatment of traumaric diaphragmaticher
Ding Zhongyang,Sheng Guangjie,Xu Jinyu,et al.. Diagnosis and treatment of traumaric diaphragmaticher[J]. Medical Journal of Liaoning, 2010, 24(5): 225-227
Authors:Ding Zhongyang  Sheng Guangjie  Xu Jinyu  et al.
Affiliation:Ding Zhongyang,Sheng Guangjie,Xu Jinyu,et al.Emergency Center Wuxi People's Hospital the Affiliated Hospital of Nanjing Medical University,210029
Abstract:Objective Summarize the cause of death(COD),the diagnosis and treatment strategies in the patients who has traumatic diaphragmatic hernia in order to improve the early diagnosis and successfully surgical intervention and outcome.Method We retrospectively analyze clinical materials of 33 cases of traumatic diaphragmatic hernias and make a summary.Result There are 17 cases which had been confirmed as traumatic diaphragmatic hernias before the surgeries,while 16 cases which had been misdiagnosed as others befo...
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