veoexrmpzt
Dołączył: 21 Lut 2011
Posty: 371
Przeczytał: 0 tematów
Ostrzeżeń: 0/5
Skąd: England
|
 Wysłany: Sob 7:34, 12 Mar 2011 Temat postu: ghd italia hhq nak dhju awu |
 |
|
Altitude of 23 cases of traumatic diaphragmatic rupture diagnosis and treatment of
Plateau V-training injury prevention center, Linzhi 860000) Abstract: The title of the diaphragmatic rupture should be split early diagnosis, early treatment associated injury. Gap repair the diaphragm, is also satisfied hernia contents,[link widoczny dla zalogowanych], in order to improve the cure rate, reduce mortality: Key words: trauma; diaphragmatic rupture; plateau in sub-dung number: R655.2 Document code: B of traumatic diaphragmatic rupture more common in a variety of SUI SUI closed or open chest injury, if not repair, can cause respiratory and circulatory dysfunction. Our hospital from 1980-1999 were treated 23 cases of traumatic diaphragmatic rupture, the authors end their characteristics Taiwan plateau brief discussion of the principles of diagnosis and treatment: clinical information 1 General information of the group of 23 feeding,[link widoczny dla zalogowanych], 21 males and 2 females; age of 1470 years, average 31.7 years old. The causes of injury: road accident in 10 cases, 8 cases of stab wound, fall injury in 4, gunshot wounds in 1 case. Perfect man injured in a hospital 40 minutes 33 days, 24 hours of which were 2l wife hospital patients. 3 days and 33 days in 1 case. 2o down preoperative diagnosis, laparotomy found 2 sides,[link widoczny dla zalogowanych], 1 side thoracotomy found. All groups are on the left diaphragmatic injury. Except for 1 case a non-penetrating diaphragm rupture, but are associated with different levels of abdominal visceral hernia thoracic cavity, the stomach hernia people organs, omentum, colon, small intestine and so on. Diaphragm gap 3 ~ 16era: 22 cases, 18 down combined with other organ injuries, including spleen, stomach, internal organs left kidney, bladder, lung, brain, rib and limb fractures and other clinical manifestations of two wounded people's homes down with 9 grams of body , dyspnea in 11 cases, 14 cases of chest pain, abdominal pain, 12 fall, l8 cases of positive peritoneal irritation: thoracentesis in 3 out of 5 patients without coagulation; abdominal wear down in 7 cases out of 10 do not clotting, and 2 cases out of the stomach contents. All in all cases the line X-ray chest and abdomen. 11 patients with a diagnosis. 5 cases of free gas below the diaphragm. Intrathoracic stomach bubble, see 3 sides, upper gastrointestinal X-ray barium meal examination revealed gastric hernia A chest in 3 cases. 3 Treatment and outcome of 23 sides in this group underwent surgery. Laparotomy in 15 cases. Thoracotomy in 5 cases, 3 cases = laparotomy after thoracotomy group were all closed thoracic drainage tube placement. 16 down placing peritoneal drainage. Surgical principles of repair damaged organs, but also satisfied that the hernia the abdominal cavity thoracic cavity organ. gap with the I, chromic catgut suture for the continuous barrier repeatedly down = 21 were cured, 91.3% and 2 died Received: 2 ∞ 0-05-19; Revised: add o0-07-28 · l27f lazy postoperative renal failure, severe respiratory and circulatory disorder in 1 case). to discuss a common cause of injury with diaphragmatic injury before the 4th rib in the chest below the level of penetrating injuries of chest, upper abdomen, severe closed injury. Plateau areas to traffic injuries and stab wounds were the most common tool. 2 diagnostic f1) history of trauma: the existence of the disease is often a clear history of trauma, especially chest crush injury or the lower chest stab wound, gunshot wounds, etc.; (2) Chest Abdominal transposition performance: chest injury with abdominal symptoms and signs of chest or abdominal symptoms and signs of injury cases, which is one of the characteristics of this disease: Where are the performers, should be highly suspected diaphragmatic injury or hernia formation. this group of 11 cases of diaphragmatic rupture in context, to consider. After confirmed by surgery; (3) X-ray examination: chest X-ray examination that measures the high side of the diaphragm, the diaphragm can not explain the spherical surface of a bulging, diaphragm unclear. above the diaphragm Air bubbles or dense shadow. the heart and other mediastinal shift to the normal side the possibility of diaphragmatic injury should be suspected. this group underwent X-ray examination, 11 of them down to make the correct diagnosis; (4) Other tests: accuracy rate of Thoracoscopy 100%, and at the same time capable of bleeding, repair; cr scan and diagnostic peritoneal lavage in the diagnostic accuracy of up to 70% of the 3 treatment principles are not self-Yu diaphragmatic rupture together, once diagnosed,[link widoczny dla zalogowanych], an operation as soon as possible. diaphragmatic repair cracks,[link widoczny dla zalogowanych], also satisfied that the hernia contents. For serious merger injured. should be actively carried out timely and correct treatment. according to the principles of light before the first re-treatment after fatal. surgery seeks to be saved is simple: preoperative routine placement of closed thoracic drainage tube, with dirty abdominal device injured, home peritoneal drainage as appropriate.
Post został pochwalony 0 razy
|
|
