Bilateral diaphragmatic injury diagnosed by laparoscopy.

Revista paulista de medicina Pub Date : 1993-05-01
L F Zantut, M A Machado, P Volpe, R S Poggetti, D Birolini
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Abstract

Rupture of the diaphragm from blunt trauma is uncommon, but greatly improved prehospital care and transportation of victims has increased the frequency at which patients who sustain this injury arrive at the emergency room alive. We report a case of bilateral diaphragmatic rupture from blunt abdominal trauma in a 33-year old man. Diagnosis was established by laparoscopy after suggestive chest X-rays, liver scintigraphy, CT scan and magnetic resonance imaging. The methods used to diagnose this condition are analyzed.

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腹腔镜诊断双侧膈损伤。
钝器创伤导致膈肌破裂并不常见,但院前护理和受害者运输的极大改善增加了这种损伤的患者活着到达急诊室的频率。我们报告一例双侧膈破裂钝性腹部创伤在一个33岁的男子。经暗示性胸部x线、肝脏显像、CT扫描和磁共振成像后行腹腔镜诊断。分析了诊断这种疾病的方法。
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