title: [Diaphragmatic ruptures: diagnosis--therapy--results, experiences with 64 patients].
abstract: From 1963 to 1993, 64 Patients with traumatic lesions of the diaphragm were treated. 58 Patients were admitted after blunt trauma, 6 Patients after a penetrating trauma. 87.5% of the patients were male with an average age of 37 years. In about 80% of cases other severe traumatic lesions were noted in association. With 64% extremities, 50% abdomen, 47% thoracic cavity and 38% head injuries were concomitant lesions. Due to the association with pelvic fractures (45%) a special diagnostic emphasis on diaphragmatic ruptures is recommended. In 83% the left diaphragm is involved. Over the last years the right-sided rupture of the diaphragm were found in an increasing extent from 3.7% up to 26%. Conventional radiography with gastrographin swallow is still the essential diagnostic tool. Hospital mortality (12%) was mainly influenced by complications of concomitant injuries, i.e. cardio-pulmonary insufficiency, Shock and multi-organ-failure.
authors.affiliation: Klinik für Allgemeinchirurgie des Zentralkrankenhauses Reinkenheide/Bremerhaven.
authors.forename: J
authors.initials: J
authors.lastname: Pfannschmidt
authors.forename: H
authors.initials: H
authors.lastname: Seiler
authors.forename: H
authors.initials: H
authors.lastname: Böttcher
authors.forename: N
authors.initials: N
authors.lastname: Karadiakos
authors.forename: B
authors.initials: B
authors.lastname: Heisterkamp
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002423:Cause of Death; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging* / Q000401:mortality / Q000601:surgery; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000401:mortality / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries; D011859:Radiography; D015996:Survival Rate; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery
vernacular_title: Zwerchfellrupturen: Diagnostik--Therapie--Ergebnisse, Erfahrungen bei 64 Patienten.