2009•Journal of clinical and experimental medicineRequires access
The diagnosis and treatment of traumatic diaphragmatic rupture
Wnag Cheng-j
Open publisher page 0 citations
Abstract
Objective To explore the diagnosis and treatment of traumatic diaphragmatic rupture and diaphragmatic hernia.Methods The clinical data of 19 cases treated for traumatic diaphragmatic rupture and diaphragmatic hernia were retrospectively analyzed.Among these 19 cases,5 resulted from penetrating injuries and 14 due to closed injuries.5 of these 19 cases were accurately diagnosed by radiography and 11 cases were accurately diagnosed by CT scanning,3 cases diagnosed by intraoperative exploration.Results The diagnosis was established preoperatively in 16 cases.18 patients were cured and 1 patients died of severe liver rupture complicated with uncontrolled hemorrhagic shock.Postoperative complications occur 1 cases of atelectasis,1 cases of subphrenic abscess.All were cured after treatment by the positive.Conclusion The diagnosis of traumatic diaphragmatic rupture can be made by radiography and CT scanning.Early diagnosis and timely operation are key points for raising cure rate and reducing mortality rate.