Diagnosis and Treatment of 25 Cases of Traumatic Diaphragmatic Hernia

Objective To summarize the diagnosis and treatment experiences of the traumatic diaphragmatic hernia.Methods The clinical data of 25 cases with traumatic diaphragmatic hernia from July 2005 to May 2009 were analyzed retrospectively.Among them,6 cases were open injures and 19 cases were closed injures.Results Twenty three cases were fully cured;2 cases died and the death rate was 8%,among them,1 case died from hemorrhagic shock and 1 case died from multiple trauma which the patient was missed diagnosis in his first operation treatment.Conclusion The early diagnosis is most important for patients with traumatic diaphragmatic hernia.The most dependable diagnosis methods are chest fluoroscopy and CT examination.The traumatic diaphragmatic hernia operation should be performed as early as possible after diagnosis.The early diagnosis,timely operation and prompt treatment of associated organ injures are the key to improve the cure rate.