创伤性膈疝28例临床分析

目的总结创伤性膈疝的诊治经验。方法回顾分析1990年1月～2004年8月28例创伤性膈疝临床资料。其中开放性损伤7例，闭合性损伤21例。结果术前确诊19例（67．9％），治愈25例。死亡3例（10．7％），2例死于出血性休克，1例死于多器官功能障碍综合征（MODS）。结论胸部X线和CT检查是诊断创伤性膈疝的重要方法。早期诊断、及时手术，正确处理合并脏器伤是提高治愈率的关键。

Clinical analysis of 28 cases with traumatic diaphragmatic hernia

Objective To summarize the experience of diagnosis and treatment of traumatic diaphragmatic hernia. Methods From January 1990 to Augest 2004, 28 cases with traumatic diaphragmatic hernia were analyzed restrospectively. Among them,7 cases were open injuries and 21 cases were closed injuries. Results The preoperative diagnosis were confirmed in 19 cases(67.9%). 25 cases were cured. 3 cases died(10.7%). Among them,2 cases died from hemorrhagic shock and 1 cases died from MODS. Conclusion Chest X ray and CT examination are an important methods to diagnose the traumatic diaphragmatic hernia.Early diagnosis,timely operation,prompt treatment of associated with viceral injuries are the keys to improve the cure rate.