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胸腰椎骨折及截瘫合并膈疝

Thoraco-Lumbar Spine Fracture and Traumatic Paralysis with Associated Diaphragmatic Hernia

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【作者】 叶显乐李毅中黄杰苗李炎川郑文忠时亚强

【Author】 Ye Xian-le,et al. Zhang Zhou Municipal Hospital,Fujian.

【机构】 福建漳州市医院外科福建医学院二附院骨科解放军180医院骨科河南鹤壁矿务局第八煤矿医院 (363000)(362000)(456672)

【摘要】 本文报告9例胸腰椎骨折及截瘫合并膈疝,除1例系高处坠落腰背部着地外,其它为重物压于腹背部或胸腹背部。骨折部位T12~L4,8例合并截瘫,9例均出现休克,膈疝全部发生在左侧。作者还对膈疝的形成机制、诊断及治疗问题作了讨论。

【Abstract】 This article reported 9 cases of thoraco-lumbar spine fracture and traumatic paralysis complicated by diaphragmatic hernia. Except 1 case injuried in dorsolumbar because of a fall off from high place,all of them are in-juried in dorsolumbar or thoracoabdominal site by a heavy object Fracture site lay in T 12-L4,8 cases of them complicated by traumatic paralysis and 9 cases being in shock. All site of diaphragmatic hernia occured in left side. The causing mechanism,diagnosis and treatment of traumatic diaphragmatic hernia were discussed.

【关键词】 胸腰椎骨折膈疝创伤性截瘫
【Key words】 Fracture Spine Diaphragm
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