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KMID : 0364019950280030308
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 3 p.308 ~ p.312
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Traumatic Injuries of Diaphragm
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신호승
최진호/김병주/박희철/홍기우
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Abstract
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A 5-year retrospective study of 14 patients with diaphragmatic injuries revealed 9 blunt and 5 penetrating injuries.
In the blunt trauma group, 7 were left and 2 were right side. The penetrating diaphragmatic wound consist of 3 left and 2 right sided. Sex ratio was 11:3, with male predominanace. Preoperative diagnosis was possible in 9 cases and delayed
diagnosis
(greater than 24 hours) occured in 5 cases. Simple chest X-ray was diagnostic or highly suggestive in 7 cases. 7 cases were diagnosed diaphragmatic injuries by computed tomography, fluroscopy or by explorative operation. All of the cases had
association
injury. 11 cases of diaphragmatic ruptures were corrected through thoracotomy and 3 cases needed exploratory laparotomy. One death occured after operation due to associated injuries and respiratory failure. Blunt and penetrating diaphragmatic
injuries
remain a diagnostic challenge and associated injuries, delayed diagnosis determine the outcome.
(Korean J Thorac Cardiovasc Surg 1995;28:308-12)
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