Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Traumatic Injury of Diaphragm

외상성 횡격막 손상

  • Published : 1995.03.01
Download PDF
⟨ Previous Next ⟩

Abstract

A 5-year retrospective study of 14 patients with diaphragmatic injuries revealed 9 blunt and 5 penetrating injuries. In the blunt trauma group, 7 were left and 2 were right side. The penetrating diaphragmatic wound consist of 3 left and 2 right sided. Sex ratio was 11: 3, with male predominanace. Preoperative diagnosis was possible in 9 cases and delayed diagnosis [greater than 24 hours occured in 5 cases.Simple chest X-ray was diagnostic or highly suggestive in 7 cases. 7 cases were diagnosed diaphragmatic injuries by computed tomography, fiuroscopy or by explorative operation. All of the cases had association injury. 11 cases of diaphragmatic ruptures were corrected through thoracotomy and 3 cases needed exploratory laparotomy. One death occured after operation due to associated injuries and respiratory failure. Blunt and penetrating diaphragmatic injuries remain a diagnostic challenge and associated injuries, delayed diagnosis determine the outcome.

Keywords

References

  1. Ann Thorac Surg v.16 Acute diaphragmatic injuries Drews,J.A.;Mercer,E.C.;Benfield,J.R.
  2. J Trauma v.14 Diagnostic problems in traumatic diaphragmatic hernia Gourin,A.;Garzon,A.A.
  3. J Trauma v.17 Shock and acute respiratory failure after chest trauma Wilson,R.F.;Antonenko,D.;Gibson,D.B.
  4. Arch Surg v.123 Blunt diaphragm rupture;a morbid injury Bael,S.L.;Mckennan,M.
  5. Arch Surg v.117 Trumatic diaphragmatic hernia Payne,J.HI.Jr.;Yellin,A.E.
  6. J Thorac Cardiovasc Surg v.92 Acute injuries of the diaphragm An analysis of 165 cases Robert,G.W.Jr.;Robert,F.W.;Zwi Steiger
  7. General Thoracic Surgery(3rd ed.) Diaphragmatic injuries Shields,T.W.;Symbas,P.N.(ed.);Shields,T.W.(ed.)
  8. J Trauma v.13 Traumatic injuries : Sonographic evaluation of the diaphragm Wise,L.;Connors,J.;Hwang,J.H.
  9. Ann Thorac Surg v.26 Blunt traumatic rupture of the diaphragm Brooks,J.W.
  10. Ann Thorac Surg v.39 Traumatic diaphragmatic hernia : A continuing Challenge Brown,G.L.;Richardson,J.D.
  11. J Thorac Cardiovasc Surg v.74 Traumatic rupture of the diaphragm-Surgical reconstruction with special : reference to delayed closure Feigenberg,Z.;Salomon,J.;Levy,M.
  12. Ann Thorac Surg v.12 Traumatic diaphragmatic hernia Hood,R.M.