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박규주,조길남,문석환 대한외상학회 1995 大韓外傷學會誌 Vol.8 No.1
We evaluated nineteen cases of traumatic diaphragmatic ruptures that we have experienced from May. 1985 to Dec. 1994. All patients were male. The age distribution ranged from 19 to 38 years with mean age of 28. 5. The diaphragmatic ruptures were due to blunt trauma in 11 cases(traffic accident 9, fall down 2) and penetrating trauma in 8 cases(gun shot wound 5, stab wound 2, explosive wound 1). Seven of 11 cases with blunt trauma and 6 of 8 penetrating injuries were diagnosed within 24 hours. In the blunt trauma, the rupture site was located in the left in 8 cases and in the right in 3 cases. In the penetrating trauma, the rupture site was located in the left in 7 cases and in the right in 1 case. The repair was performed with thoracic approach in 7, thoracoabdominal approach in 11 and abdominal approach in 1 case. The postoperative rnortality was 5.0%(1/19). The causes of death were septic shock and acute renal failure.