The records of 28 patients with traumatic diaphragmatic injuries seen at Masan Samsung Hospital from march 1986 to March 1995 were reviewed.
We treated 21 male and 7 female patients ranging in ages from 5 to 68 years. The diaphragimatic injuries were due to blunt trauma in 20 cases(Traffic 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%), abdominal pain 8(29%), comatose mentality 36(11%).
Chest X-ray were elevated diaphragm in 20 cases(71%) and hemothorax in 18 cases(64%) and 25 cases (89%) were diagnosed or suspected as diaphragmatic injuries preoperatively.
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. (hypovolemic shock 3, combined head injury 1, renal failure 1).
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