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目的研究总结创伤性膈疝的临床特点、诊断和治疗方案,为临床减少漏诊、误诊,改善预后提供可参考依据。方法对20例创伤性膈疝患者的治疗情况进行分析。结果 20例患者均得到治疗,其中19例经手术治愈,术后随访3个月无复发;1例死亡,合并颅脑损伤、骨折、脊柱损伤,死因为失血性休克和创伤性休克。结论创伤性膈疝早期容易误诊或漏诊,需体格检查联合影像学检查,早期诊断和手术治疗可以提高患者生存率,改善预后。
Objective To study and summarize the clinical features, diagnosis and treatment of traumatic diaphragmatic hernia, and provide a reference for clinical diagnosis of missed diagnosis, misdiagnosis and improvement of prognosis. Methods Twenty cases of traumatic diaphragmatic hernia were analyzed. Results Twenty patients were treated. Among them, 19 cases were cured by surgery. No recurrence was observed 3 months after operation. One patient died of craniocerebral injury, fracture, spinal injury, hemorrhagic shock and traumatic shock. Conclusions Traumatic diaphragmatic hernia is easily misdiagnosed or missed as early as possible. Physical examination combined with imaging examination, early diagnosis and surgical treatment can improve the survival rate of patients and improve the prognosis.