手术治疗创伤性膈疝32例临床探讨
【摘要】 目的 探讨创伤性膈疝的诊断及外科治疗。方法 回顾性分析2005年1月至2009年1月收治创伤性膈疝32例患者临床资料。结果 右侧4例,左侧28例,膈肌破裂长度5~17 cm;疝入胸腔的脏器右侧多为肝脏和胃,左侧以胃、脾、结肠、空肠为多见,其次为小肠及大网膜。30例治愈,均在术后2周内痊愈出院,随访1~3年无复发;2例死亡,死于多脏器功能衰竭。结论 创伤性膈疝通过询问病史、体格检查、相关检查提高早期诊断水平,及时手术、选择修补方式,同时并积极处理其他合并伤以改善预后。
【关键词】创伤性膈疝;诊断;外科治疗
Clinical investigation of operation on 32 patients with traumatic diaphragmatic hernia
YANG Wen-dong,ZHANG Wen-long,ZHONG Biao.Cardiothoracic Surgery Department,Central People’s Hospital of Huizhou City,Huizhou 516001,China
【Abstract】 Objective To investigate the diagnosis of traumatic diaphragmatic hernia and surgical treatment.Methods Clinical data.of 32 patients with traumatic diaphragmatic herniatreated from January 2005 to January 2009 were retrospectively analysedt.Results The right side in 4 cases,left in 28 cases,diaphragmatic rupture length of 5~17 cm; hernia into the chest of the organs,mostly the right side of the liver and stomach,left to the stomach,spleen,colon,jejunum is more common,followed by small intestine and omentum.30 cases were cured and discharged after 2 weeks without recurrence during 1 to 3 years follow-up; 2 patients died of multiple organ failure.Conclusion By asking medical history,physical examination,the relevant checks can improve early diagnosis and timely surgery of the traumatic diaphragmatic hernia.We should choose the repair method at the same time and actively deal with other associated injuries in order to improve prognosis. ......
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【关键词】创伤性膈疝;诊断;外科治疗
Clinical investigation of operation on 32 patients with traumatic diaphragmatic hernia
YANG Wen-dong,ZHANG Wen-long,ZHONG Biao.Cardiothoracic Surgery Department,Central People’s Hospital of Huizhou City,Huizhou 516001,China
【Abstract】 Objective To investigate the diagnosis of traumatic diaphragmatic hernia and surgical treatment.Methods Clinical data.of 32 patients with traumatic diaphragmatic herniatreated from January 2005 to January 2009 were retrospectively analysedt.Results The right side in 4 cases,left in 28 cases,diaphragmatic rupture length of 5~17 cm; hernia into the chest of the organs,mostly the right side of the liver and stomach,left to the stomach,spleen,colon,jejunum is more common,followed by small intestine and omentum.30 cases were cured and discharged after 2 weeks without recurrence during 1 to 3 years follow-up; 2 patients died of multiple organ failure.Conclusion By asking medical history,physical examination,the relevant checks can improve early diagnosis and timely surgery of the traumatic diaphragmatic hernia.We should choose the repair method at the same time and actively deal with other associated injuries in order to improve prognosis. ......
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