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第58卷 第2期 2025-3
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The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan

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Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study

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Pilonidal sinus of scrotum: A rare clinical entity

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Incidental autopsy finding of retiform hemangioendothelioma of the spleen

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篇名 Traumatic Diaphragmatic Hernia: Report of two Cases
作者 Wei-Yu Chiu, Jane-Yi Hsu
卷期/出版年月 39卷2期 (2006/4)
頁次 100-105
摘要 Traumatic diaphragmatic hernia (TDH) can be difficult to recognize. We present 2 cases of TDH. One case is a 23-year-old man, who suffered from a blunt injury with acute TDH from a motor vehicle accident. The other case is a 60-year-old male who had chronic TDH due to a violent penetrating injury more than 20 years previously. Immediate herniation is most often associated with a large tear of the diaphragm, but the symptoms of the herniation are usually obscured by other associated injuries. The diaphragmatic repair should be approached through a laparotomy due to the high incidence of simultaneous intra-abdominal organ injury. If small tears of the diaphragm are not repaired initially, progressive abdominal visceral herniation may occur because of the pressure gradient between the thoracic and peritoneal cavities. A thoracotomy provides excellent exposure to divide the adhesions between the trapped viscera and lung parenchyma. We emphasize that there are two types of TDH: acute and chronic. Each of these two types has its own treatment modality.
關鍵詞 trauma, diaphragmatic hernia
分類 Case Report

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