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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;
  • 【文献出处】 骨与关节损伤杂志 , 编辑部邮箱 ,1993年01期
  • 【下载频次】9
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