Atila EROĞLU, Nurettin KARAOĞLANOĞLU, Celal TEKİNBAŞ, Ahmet BAŞOĞLU, Atila TÜRKYILMAZ

Travmatik diafragma rüptürleri

Diafragma rüptürü, künt veya penetran travmalar sebebiyle oluşmaktadır. Künt torasik yada abdominal travmalarda, özellikle de genel vücut travmalı olgularda diğer organ yaralanmaları nedeniyle gözden kaçabilmektedir. Kliniğimizde, 1990-1998 yıllan arasında 12 hasta travmatik diafragma rüptürü tanısıyla tedavi edilmiştir.Olguların 9'u erkek, 3'ü kadındı.Yaşları 13 ile 61 arasında değişmekte olup ortalama yaş 36.4 olarak hesaplanmıştır. Olguların tümüne posterolateral torakotomiyle diafragma tamiri uygulanmıştır. Bir olgu multiorgan yetmezliği nedeniyle kaybedilmişti.

Traumatic rupture of diaphragm

Rupture of the diaphragm is caused either by blunt or penetrating trauma. Diagnosis of diaphragmatic rupture is often missed in blunt thoracic and abdominal trauma especially in massively traumatized patients, masked by other injuries. In our clinic, between 1990 and 1998, 12 patients were treated for traumatic rupture of the diaphragm. There were 9 men and 3 women. The ages of the cases ranged from 13 to 61 years mean:36,4. For diaphragmatic repair all patients underwent thoracotomy. One patients died due to accompanying injuries.

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