Evaluation and curative effect analysis of diaphragmatic injuries caused by penetrating thoracic trauma

Objective To investigate the characteristics of trauma score in diaphragm injuries caused by penetrating thoracic trauma, and evaluate treatment quality.?Methods From 1970 to 1999,28 patients with diaphragmatic injuries caused by penetrating thoracic trauma were treated and evaluated retrospectively by hospital trauma scoring.?Results ISS was significantly correlative with PTI, TRISS and ASCOT.PTI was correlative only with TRISS. Each patient's probability of survival was 0.5 or more than 0.5. That is to say, all the patients should have survived, however, in fact, there were two deaths. There was significant difference in RTS and ASCOT between shock group and non shock group.?Conclusions(1)?ISS is more reasonable than PTI in evaluating diaphragmatic injuries caused by penetrating thoracic trauma,and ISS≥20 should be considered as standard of severe trauma.(2)?There is no significant difference in anatomic damage (ISS, PTI) between shock group and non shock group. This is an important characteristic in the injuries.(3)?It is necessary to improve the understanding of the injuries and levels of treatment.