CAJ | 학술논문

目的：探讨创伤性膈肌破裂的诊断与治疗。方法回顾性分析56例创伤性膈肌破裂患者的临床资料及诊治方法。结果56例中，开放性损伤29例，闭合性损伤27例，术前确诊膈肌破裂27例（53.5%），29例术中探查确诊，治愈52例，死亡4例。结论创伤性膈肌破裂是胸外科严重急症之一，休克及病死率高，早期明确诊断及正确治疗至关重要。
목적：탐토창상성격기파렬적진단여치료。방법회고성분석56례창상성격기파렬환자적림상자료급진치방법。결과56례중，개방성손상29례，폐합성손상27례，술전학진격기파렬27례（53.5%），29례술중탐사학진，치유52례，사망4례。결론창상성격기파렬시흉외과엄중급증지일，휴극급병사솔고，조기명학진단급정학치료지관중요。
Objective To explore the diagnosis and treatment of traumatic diaphragm aticrupture and diaphragmatic hernia. Methods The clinical data of 56 cases treated for traumatic diaphragmatic rupture and diaphragmatic hernia were retrospectively analyzed. Results Among these 56 cases, 29 resulted from penetrating in juries and 27 due to closed injuries. The diagnosis was established preoperatively in 27 cases(53.5%).29 cases diagnosed by intraoperative exploration. 52 patients were cured, 4 patients were died. Conclusion The diagnosis of traumatic diaphragmatic rupture is one of the serious treatment in thoracic surgery, It has High incidence of shock and death.So early diagnosis and correct treatment is very important.