摘要：目的：总结创伤性膈疝的诊断与治疗经验。方法：对20例创伤性膈疝患者的诊断、治疗和手术方法及时机的探讨。结果：18例(90%)术后治愈，2例死亡，死亡率10%。结论：胸腹联合伤患者应警惕膈肌的损伤。创伤性膈疝的临床表现常被合并伤的表现所掩盖，要注意受伤的原因、体位及外力作用的方向。胸部透视是最可靠的诊断方法。创伤性膈疝一经发现，应尽早行手术治疗。

    关键词：创伤性膈疝；胸透；诊断

    The Diagnosis and Treatment of Traumatic Diaphragmatic Hernia

    DU De-lu,LI Jun-jie,ZHANG Chang-jiang,et al

    (The Central Hospital of Xinxiang, Henan Xinxiang 453000, China)

    Abstract：Objective: Summaring the diagnosis and treatment experiences of the traumatic diaphragmatic hernia. Method: Discussing the diagnosis treatment operation method and opportunity of 20 examples traumatic diaphragmatic hernia. Result: 18 examples are fully covered, 2 examples are died, death rate is 10%. Conclusion: We should be alerted to diaphragmatic injury in combined injury of chest and abdomen,notice the injury reason’ the body and the direction of the outside force function. The most dependable diagnosis method is chest fluuorroscopy. The traumatic diaphragmatic hernia should be operating as early as possible after diagnosis. ......