title: [Diaphragmatic lesions in closed injury].
abstract: Bases on the analysis of 10 clinical observations, it was found that closed injuries of the diaphragm occur mainly in the use of great mechanic force (compression, a fall from great height, an impact of quick-acting object). In the acute period these are frequently not accompanied by diaphragmatic hernia and remain unrecognized. It is the author's opinion that in early diagnosis of acute diaphramatic hernia clinical symptoms play no leading role, but chest roentgenography is of primary importance. The terms of surgical treatment and the choice of the operative access are determined by general patient's state and the character of associated lesions.
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery; D000328:Adult; D000368:Aged; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010388:Pelvis / Q000293:injuries; D013898:Thoracic Injuries / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Povredeniia diafragmy pri zakrytoĭ travme