Korean J Thorac Cardiovasc Surg.  1997 Apr;30(4):402-407.

Clinical Analysis of Traumatic Diaphragmatic injuries: Report of 28 cases

• Jang JW
• Lee YJ
• Hwang SW
• Kim HY
• Song WY
• Yoo BH

Abstract

The records of 28 patients with traumatic diaphragmatic injuries seen at Masan Samsung Hospital from march 1986 o March 1995 were reviewed. We treated 21 male and 7 female patients ranging in ages from 5 to 68 years. Thc diaphragimatic injuries were due to blunt trauma in'20 cases(Trawc accident 18, compression injury 1, Human trauma 1) and penetrating injuries 8 cases (all stab wound). Most common symptoms were dyspnea 27 (96%), chest pain 26 (93%), abdomianl pain 8 (29%), comatose mentality 36 (11 %). Chest X-ray were elevated diaphragm in 20 cases(71%) find hemothorax in 18 cases (64%) and 25 cascs (89%) were diagnosed or suspected as diaphragmatic inju,rims prcopcrativcly. The repair of 28 cases were performed with thoracic approach in 20 cases, abdominal approach 7, thoracoabdominal approach in 1 cases. There were 5 death (18%) and all death related to the severity of associated injury. (hypovolcmic shock 3, combined head injury 1, renal failure 1).

Keyword

Diaphragm, trauma

MeSH Terms

Chest Pain
Coma
Craniocerebral Trauma
Diaphragm
Dronabinol
Dyspnea
Female
Hemothorax
Humans
Male
Renal Insufficiency
Shock
Thorax
Dronabinol