Abstract: [Abstract] Objective：To analyze the diagnosis and treatment of traumatic diaphragmatic hernia, summed up the experience of early diagnosis and misdiagnosis causes of treatment. Methods： Retrospective analysis of hospital 2002.01 - 2011.10 treated 28 patients with traumatic diaphragmatic hernia clinical data. Results： The 20 patients after thoracic surgery, the abdominal repair in 8 cases. 1 died. Conclusion：(1) The left side of traumatic diaphragmatic hernia is the high incidence than the right. (2) To improve multi-disciplinary physician mechanism of traumatic diaphragmatic hernia awareness, not to the specific signs of diaphragmatic hernia does not appear to negate the diagnosis of traumatic diaphragmatic hernia and dynamic laboratory examinations can reduce misdiagnosis. (3) Once diagnosed as early as possible surgical treatment, surgery should be based on the condition the flexibility to choose the path, mode of operation should be simple and effective. (4) Simple traumatic diaphragmatic hernia not the cause of death in patients.

Key words: traumatic diaphragmatic hernia, diagnosis, missed, treatment.

摘要： 目的 分析创伤性膈疝的诊治过程，总结早期诊断经验和漏诊原因，探讨治疗方法。方法 回顾分析我院2002.01~2011.10收治的创伤性膈疝患者28例病例资料。结果 本组27例患者痊愈出院，1例合并严重颅脑损伤和腹腔脏器破裂出血死于休克后多脏器功能衰竭。8例合并较严重肺挫伤患者并发呼吸衰竭，呼吸机辅助呼吸后痊愈出院。胸部切口均为甲级愈合，腹部切口感染2例，其中1例全层裂开，II期减张缝合后痊愈出院。1例局部处理后痊愈。24例随访1年，无复发，失访3例。结论 创伤性膈疝一经确诊应尽早手术治疗，同时高对创伤性膈疝发生机制的认识，减少误诊。

关键词: 创伤性膈疝, 诊断, 漏诊, 治疗。