외상성 횡경막 손상 = Traumatic Rupture of the Diaphragm

다국어 초록 (Multilingual Abstract)

We experienced the 17 cases of traumatic diaphragmatic injuries at the department of General surgery, Sun General Hospital from Jun, 1990 to Jun, 1994. There were 15 male and 2 female patients.
The age distribution was ranged from 19 to 67 years.
13 Patients had blunt trauma(traffic accident 12, fall down 1), and 3 had penetrating injuries(stab wound), 1 patient had operation trauma.
The ruptured sites were located on the left in 13 case, and on the right in 3 cases and 1case on the central port.ion.
The most common symptoms were dyspnea and chest pain (82. 3%)
Traumatic diaphragmatic hernia were suspected on the basis of an abdominal and chest plain X-ray findings in the trauma victim with multiple injuries.
The 13 case of 17 patients(76,9%) were diagnosed and treated within 24 hours after trauma.
We concluded that injuries to the diaphragm should be suspected in all patients with severe blunt torso traurna or with penetrating injuries in the diaphragm. Because of the nonspecificity of X-ray and the false negative other study, we believed that missed injuries and morbidity could be minimized by creful attention to the injuries.