膈肌破裂并不少见,闭合伤或开放伤均可引起。由枪弹或锐器刺入引起的膈肌损伤多为胸腹联合伤,常于手术时发现,并进行修补。而胸腹挤压伤、减速伤或撞伤引起的膈肌破裂,由于缺乏典型的临床征象,加之有合并伤存在,受伤早期往往不易及时做出正确诊断,是所有胸部创伤中最易漏诊的损伤。临床上凡低于第4前肋骨、侧胸第6肋和后背第8肋的胸部贯通伤或盲管伤均应想到膈肌损伤的可能。
目的探讨儿童膈肌破裂的特点,以便早期诊断及治疗。
Objective To search for the characteristics of diaphragmatic rupture in children for earlier diagnosis and treatment.
目的探讨电视胸腔镜对创伤性膈肌破裂的诊断和治疗价值。
To investigate the value of diagnosis and treatment of video-assisted thoracoscope in diaphragmatic injury.
目的:探讨胸腹部钝性损伤致膈肌破裂的诊断与外科治疗方法。
Objective: To study the clinical diagnosis and surgical intervention of blunt traumatic diaphragmatic rupture.
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