创伤性膈疝52例诊治分析

摘要

Objective To summarize and analyze the clinical experience of diagnosis and treatment of traumatic diaphrag-matic hernia. Methods Convenient selection a retrospective analysis of our hospital from January 2011 to 2016 January 52 cases of traumatic diaphragmatic hernia patients. According to the clinical data and treatment methods of patients to discuss the early diagnosis and treatment of traumatic diaphragmatic hernia. Results There were 41 cases (78.85%) that were diag-nosed as diaphragmatic hernia within 12 hours after the treatment, and the average time of the diagnosis was (3.23± 3.64) hours. On the other hand, 11 cases(21.15%) were diagnosed after 12 hours, and the average time was(210±86)hours;after the operation cure in 47 cases, 3 cases died and 2 cases without surgery. Conclusion This point prompts that if the diaphrag-matic hernia cannot be diagnosed definitely on the early stage, it will cause difficulty in the diagnosing on the later stage.%目的：探讨分析创伤性膈疝的临床诊疗经验。方法方便选取回顾性分析该院自2011年1月—2016年1月收治的52例创伤性膈疝患者，根据患者的临床资料以及治疗方法，讨论创伤性膈疝的早期诊断及治疗。结果就诊后12 h内确定诊断膈疝的患者41例（78.85%），平均确诊时间（3.23±3.64）h；12 h以后确定诊断的为11例（21.15%），平均确诊时间为（210±86）h；手术治愈47例，术后死亡3例，2例未手术。结论创伤性膈疝如不能早期明确诊断，后期常诊断治疗困难；充分认识膈疝不同时期的病理生理变化，动态观察患者临床及影像资料变化有助于早期明确诊断。