التفاصيل البيبلوغرافية
| العنوان: |
Traumatic injuries of the diaphragm. Experience in 33 cases. |
| المؤلفون: |
Freixinet JL; Department of Surgery, Hospital Clínico y Provincial, Faculty of Medicine, University of Barcelona, Spain., Segur JM, Mestres CA, Mateu M, Gimferrer JM, Catalán M, Callejas MA, Letang E, Sánchez-Lloret J |
| المصدر: |
The Thoracic and cardiovascular surgeon [Thorac Cardiovasc Surg] 1987 Aug; Vol. 35 (4), pp. 215-8. |
| نوع المنشور: |
Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Thieme Country of Publication: Germany NLM ID: 7903387 Publication Model: Print Cited Medium: Print ISSN: 0171-6425 (Print) Linking ISSN: 01716425 NLM ISO Abbreviation: Thorac Cardiovasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Stuttgart, Thieme. |
| مواضيع طبية MeSH: |
Diaphragm/*injuries , Wounds, Gunshot/*surgery , Wounds, Nonpenetrating/*surgery , Wounds, Stab/*surgery, Accidents, Traffic ; Adult ; Female ; Hernia, Diaphragmatic, Traumatic/surgery ; Humans ; Male ; Middle Aged |
| مستخلص: |
Between 1978 and 1985, 33 patients were treated because of a traumatic injury of the diaphragm. There were 28 males and 5 females, ages ranging from 19 to 54 years, with a mean of 34.5. There were 19 cases of open trauma and 14 were closed injuries. In 3 cases, the diagnosis was established on a delayed basis. Treatment was always surgical, with the following procedures: Laparotomy and chest drainage tube in 7 cases (21%), thoracotomy in 12 cases (36%) and a combined thoracoabdominal approach in 14 (43%). Surgical findings were 19 perforations, 10 tears and 4 crushes. In 11 cases there was gastric intrathoracic migration, in 9 cases pulmonary lesions and in 4 cases liver injuries. There were 4 cases of hospital mortality (12%) and overall 6 cases (18%). It is concluded that the early establishment of the diagnosis and the prompt initiation of therapeutic measures is a fundamental factor in the outcome of diaphragmatic injuries. The surgical approach must be individualized in every case, however we prefer the abdominal approach in acute and left diaphragmatic injuries and the thoracic approach in the case of chronic and right lesions. |
| تواريخ الأحداث: |
Date Created: 19870801 Date Completed: 19871117 Latest Revision: 20041117 |
| رمز التحديث: |
20221213 |
| DOI: |
10.1055/s-2007-1020233 |
| PMID: |
2444003 |
| قاعدة البيانات: |
MEDLINE |
