Diagnosis and treatment of traumatic rupture of diaphragm in 28 cases

Objective To explore the diagnosis and treatment of traumatic rupture of diaphragm.Methods The clinical data of 28 cases were analyzed retrospectively,including diagnosis method,operation principle,incision selection and treatment of diaphragm hernia.Results Among these cases,23 cases received operation for diaphragm hernia within 24 h after trauma;16 cases were diagnosed preoperatively,1 case was misdiagnosed,1 case was missed diagnosis intraoperatively.All cases were treated by operation,25 cases were cured,3 cases were died from hemorrhagic shock and multiple organ failure.7 cases were opertaed by chest incision,18 cases by abdominal incision,3 cases by other incision.Conclusion Detailed physical examination,operation in time and complete expioration are the keys to enhance the rate of cure.Most of cases can be operated by abdominal incision.