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KMID : 0356919940270081026
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Korean Journal of Anesthesiology
1994 Volume.27 No. 8 p.1026 ~ p.1031
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A Case Report of Surgery on Multiple Fracture in Patient with Old Traumatic Diaphragmatic Hernia
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Abstract
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Traumatic rupture of the diaphragm is uncommon. Occurring in 5.3% of cases where blunt trauma to the abdomen required laparotomy and in less than 1% of cases of blunt chest trauma. It is not found in the immediate postinjury phase in 33% to 67%
of
cases. This eventurates in delayed manifestations, ususally involving herniation of abdominal contents into the chest.
We report our experience of the anesthetic management in a patient with old traumatic diaphragmatic hernia for orthopaedic surgery. Following epidural anesthesia, tracheal intubation was done and anesthesia was maintained with isoflurane,
narcotics
and
O2. A careful monitoring was done for adequate oxygenation and ventilation. One month after operation he was transferred to the other hospital for recurred diaphragmatic hernia.
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