Pericardio-diaphragmatic rupture following blunt abdominal trauma: Case report and review of literature.
Pericardio-diaphragmatic rupture following blunt abdominal trauma: Case report and review of literature.
复制标题
钝性腹部创伤后的毛皮diaphragmatragication破裂：病例报告和文献综述。
DOI：
10.1016/j.ijscr.2015.12.041
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发表时间：
2016
影响因子：
0.6
通讯作者：
Badri F
中科院分区：
文献类型：
--
作者：
Abou Hussein B;Khammas A;Kaiyasah H;Swaleh A;Al Rifai N;Al-Mazrouei A;Badri F
在高速钝性胸腹联合伤中应怀疑心包-隔膜。心包破裂可以通过开腹或腹腔镜手术来处理。创伤性横隔膜破裂(TDR)的发生率为0-5%，大多数发生在左侧，早期正确诊断的病例不到一半(Meyers和McCabe，1993；Ball等人，1982)。我们报告一例四十八岁男性，在高速钝性腹部创伤后发生心包-横隔膜破裂，并成功诊断和治疗。心包-横隔膜破裂(PDR)是一种罕见的问题，对外科医生的诊断提出了挑战。PDR的发生率在TDR的0.2%到3.3%之间(Sharma，1999)。任何有高速胸腹联合伤的患者都应怀疑PDR。早期诊断至关重要，需要高度怀疑。早期治疗对降低发病率和死亡率很重要。
Pericardio-diaphragmatic should be suspected in high-velocity blunt thoraco-abdominal trauma. Pericardial rupture can be managed in an open or laparoscopic approach. Traumatic diaphragmatic rupture (TDR) occurs in 0–5% of patients with major blunt thoraco-abdominal trauma, in most of them on the left side, and an early correct diagnosis is made in less than half of the cases (Meyers and McCabe, 1993; Ball et al., 1982). We report a case of a forty-eight years old man who had a pericardio-diaphragmatic rupture after a high-velocity blunt abdominal trauma that was diagnosed and treated successfully. Pericardio-diaphragmatic rupture (PDR) is an uncommon problem that poses a diagnostic challenge to surgeons. The incidence of PDR is between 0.2% and 3.3% of cases with TDR (Sharma, 1999). PDR should be suspected in any patient with high velocity thoraco-abdominal trauma. Early diagnosis is essential and needs a high index of suspicion. Early Management is important in decreasing morbidity and mortality.