Diagnosis and treatment of 21 cases of traumatic diaphragm hernia

Objective To summarize 21 cases of traumatic diaphragm hernia for improving the diagnosis and treatment method.Methods 21 cases data of traumatic diaphragm hernia including causes, manifestation, examination and surgical procedure were analyzed retrospectively. Results The diagnosis was confirmed in 18 cases(85.7%) preoperatively, missed in 3 cases (14.3%) . 19 cases were fully recovery postoperation (90.4%), 2 cases died(mortality 9.5%).Conclusion Traumatic diaphragm hernia has the clinical features of chest pain, abdominal pain, shortness of breath and dyspnea. It always combined with other visceral injury which could be misdiagnosed. The dynamic chest belly barium meal X-ray is the most efficient diagnosis method. Surgical approach depends on the status and situation of injury.