- 期刊
Diaphragmatic Injury
橫膈膜損傷
摘要
從1976年2月至1990年10月，共43位病人因橫膈膜破損住進高雄醫學院附設醫院，其中27位是因挫傷所引起，另外有16位是因刺傷所引起。診斷主要是依續性的胸部Ｘ光、胸部電腦斷層或者是因其它合併傷害在手術中所發現。在挫傷性的病人中有7位為延遲性發現，而在穿刺傷的病人中有2位為延遲性發現。有2位病人只有單純性的橫膈膜破損而未合併其它的傷害。所有這些破損的模隔膜均實施兩層的連續性縫合方式。沒有任何病人需要人工網膜來做修補，且沒有再發的情形。在挫傷性的病人中，常合併助骨或其它四肢骨折，嚴重的腦部損傷、肝或脾臟破裂、小腸破裂。而在穿刺傷所引起的病人中，肝臟破裂或胃穿孔，則是最常見的合併症，在此兩族群中反有兩位病人因這些合併症而造成死亡。
關鍵字
無資料並列摘要
From Fed. 1976 to Oct. 1990, 43 patients with diaphragmatic injuries were admitted to Medical College Hospital. Blunt injuries occurred in 27 cases and penetrating injuries in 16 cases. The diagnosis is usually made by chest roentgenogram, chest CT, or during operations for other associated injuries. Delayed diagnoses were noted in 7 cases in blunt injury group and 2cases in penetrating injury group. Isolated diaphragm injury was found in only 2 patients. The perforated diaphragm were almost repaired by two layers of continuous suture. None of them needed prosthetic mesh for reconstruction and no recurrence of hernia was found. In the blunt injury group, these patients usually combined with rib or long bone fractures, major intracranial injury, liver or spleen lacerations and intestinal perforations; while in the penetrating injury group, liver lacerations and stomach perforations were the most common associated injuries. Two deaths were noted in each group and the associated injury were accounted for these deaths.
並列關鍵字
diaphragm延伸閱讀
- Tan, R., Chen, C. S., Chiang, H. J., Shi, T. C., Lim, P., Shann, T. Y., & Tung, R. C. (1993). 急性外傷性橫膈膜破裂. 中華放射線醫學雜誌, 18(3), 221-228. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199309-18-3-221-228-a
- 陳瑞杰（1994）。橫膈膜外傷。當代醫學，(244)，120-124。https://doi.org/10.29941/MT.199402.0011
- Lee, W. J., & Yen, C. S. (2009). 外傷性腹壁疝氣. 中華民國急救加護醫學會雜誌, 20(2), 105-106. https://doi.org/10.30018/JECCM.200906.0007
- 胡偉昭、陳克治（1977）。橫膈膜腹臟膨出。中華放射線醫學雜誌，2(4)，357-362。https://www.airitilibrary.com/Article/Detail?DocID=10188940-197712-201708310011-201708310011-357-362
- Huang, Y. M., Kao, C. C., & Liu, K. Y. (2005). 創傷性橫膈破裂合併張力性胃胸：病例報告. Formosan Journal of Surgery, 38(1), 34-38. https://doi.org/10.29833/FJS.200502.0007