摘要
我院自１９８０年５月至１９９０年６月手术治疗７例骨盆骨折并发创伤性膈疝，６例痊愈，１例死亡。其发病机理与骨盆骨折巨大暴力造成腹压骤然升高，腹腔脏器穿破膈肌以及胸腔负压有关。骨盆骨折合并创伤性膈疝往往并发其它严重合并伤，又缺乏典型的临床表现，常导致误诊及漏诊。对本病的诊断应建立在高度警惕，仔细体检和必要的检查基础之上。胸腹部Ｘ光片有较高的诊断价值。
even cases of fracture complicated with diaphragmatic hernia were treated by
operation from May 1 980 to June 1 990. Sixcured and one died.The pathogenic mechanism is
associated with huge violence by pelvis fracture which causes abdominal pressure-raising
abruptly,diaphragmatic rupture and negtive pressure in chest.Because pelvis fracture is often
accompanied by other multi-system injury and there is no typical clinic
manifestation,misdiagnosis and missed diagnosis usually occur. Diagnosis must be madewith
careful and essential examination.The X-ray of chest-abdoman is of the most reliable diagnostic
value.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1994年第4期173-174,共2页
Chinese Journal of Trauma
关键词
骨盆骨折
并发症
隔疝
Fracture of pelvis complication Diaphragmatic hernia
