Diagnostic and Therapeutic Analysis of Traumatic Diaphragmatic Hernia

Objective To sum up the clinical characteristic of traumatic diaphragmatic hernia,reduce the rate of misdiagnosis,improve the level of diagnosis and therapy.Methods The clinical date of 23 patients with traumatic diaphragmatic hernia from February 1992 to November 2000 were analyzed retrospectively.Results Among the 23 cases,9 were correctly diagnosed in the first visit,12 before operation and 15 in 24 hours.91.3% of the patients had other associated injuries.Operational method:Thoractomy was used in 9 cases,laparotomy in 12,and 2 cases were required thoracolaparotomy.22 patients were cured and 1 died.Conclusion Traumatic diaphragmatic hernia is a few disease in clinic.Misdiagnosis is quite frequently in the early phase.Chest X ray is an important diagnostic method.To treat shock actively,to diagnose early and to operate promptly,these would reduce the complication and improve the cure rate.