둔상에 의한 우측 횡격막 손상

Right Diaphragmatic Rupture after Blunt Trauma - Case Report-

  • 김기훈 (인제대학교 해운대백병원 외과) ;
  • 김진수 (인제대학교 해운대백병원 외과) ;
  • 박성진 (인제대학교 해운대백병원 외과) ;
  • 김운원 (인제대학교 해운대백병원 외과) ;
  • 강도균 (인제대학교 해운대백병원 흉부외과) ;
  • 민호기 (인제대학교 해운대백병원 흉부외과) ;
  • 김용한 (인제대학교 해운대백병원 마취통증의학과) ;
  • 오철규 (인제대학교 해운대백병원 비뇨기과)
  • Kim, Ki Hoon (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Jin Su (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Park, Sung Jin (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Woon-Won (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kang, Do Kyun (Department of Thoracic and Cardiovascular Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Min, Ho Gi (Department of Thoracic and Cardiovascular Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Yong Han (Department of Anesthesiology, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • O, Cheol Gyu (Department of Urology, University of Inje College of Medicine, Haeundae Paik Hospital)
  • 투고 : 2012.06.14
  • 심사 : 2012.08.28
  • 발행 : 2012.09.30

초록

Blunt diaphragmatic rupture (BDR) is a relatively rare injury and occurs in 0.8% to 7% of all thorocoabdominal blunt trauma. Especially right diaphragmatic rupture after blunt abdominal trauma is a rarer than left. The diagnosis of BDR can be missed while evaluating the multiple trauma patient. Other severe injuries may mask BDR during the primary resuscitation and survey. We experienced two cases of traumatic rupture of right diaphragm, one diagnosed immediately and the other diagnosed delayed. In this paper we present two cases of traumatic diaphragmatic rupture.

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