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总结18例胸部刺伤致穿透性膈肌破裂的诊断与治疗经验。18例均合并其它脏器损伤。经胸手术10例,经腹手术8例。术前确诊仅2例(11%),全组均手术治愈。死亡率为0%。术前对膈肌破裂的高度警惕和术中仔细检查膈肌是减少漏诊的关键。
The diagnosis and treatment experience of penetrating diaphragmatic rupture caused by chest thoracotomy in 18 cases were summarized. 18 cases were combined with other organ damage. 10 cases of transthoracic surgery, abdominal surgery in 8 cases. Preoperative diagnosis of only 2 cases (11%), all were cured. The death rate is 0%. Preoperative high degree of vigilance on the rupture of the diaphragm and intraoperative careful examination of the diaphragm is the key to reducing missed diagnosis.