Hernia Diafragma Traumatika

7/21/2019 Hernia Diafragma Traumatika

http://slidepdf.com/reader/full/hernia-diafragma-traumatika 1/28

CAUMBO LBODUOKHO

\UOQHO\BFODOL@B UNEER OHYUBZO



WAMLOCQ@QOM

Carmbo: pamnmjnòm oemnrho` nrkom otou jorbmkom

haòùb loaroc k àhoc !la"a#$ k lb`bputb nàc

lbmlbmk%&

Carmbo lbo"rokhotb#o:nrkom oelnham la"a#

lbo"rokho rnmkko lolo%'

Carmbo lbo"rokhotb#o:

&% (o(ot eo)oom !#nmkambto`$:

o% En(cloà#

e% Hnrkokmb

(% Cbotu*

'% (o(ot omk lbparnàc (Oiqubral Lbopcrokhotbi

Carmbos/OLC).+



AWBLAHBN@NKB

Lorb po*bam omk lb ro)ot lb ruhoc *o#bt #oramo

trouho, +-./ hahb`b#b carmbo lbo"rokhotb#o% ',+

@o#b': parahpuom7?:&% ',+

Yaeokbom ea*or pl u*bo la#ola #atbko% ',+ Hamurut `n#o*b: 59 / polo *b*b #brb, '? / polo *b*b

#omom, lom &. / tarjolb eb`otaro` #rm ol capor lb

#omom *ek prnta#*b% ',+

Carmbo lbo"rokho #nmkambto` 7 &:+<<< #a`ocbrom% ',+



A\BN@NKB

1rouho : trouho tuhpu` otou trouho

pamatro*b% +

1rouho tuhpu`: #a(a`o#oom #amloroom

earhntnr% +

1rouho pamatro*b: `u#o taheu* o#beot lorb

taheo#om otou tu*u#om% +



OMO\NHB



@OMJQ\OM….



WO\NDBYBN@NKB

4<-9</ #a(aò#oom *apalo hntnr&,',.

Ha#omb*haparealoom ta#omomo omtoro rnmkko

pàuro ; rnmkko parbtnmauh% &,',.

1rouho lorb *b*b òtaro` hamaeoe#omrnea#om lbo"rokho +3 àebc *arbmk lbeomlbmk#om

trouho lorb *b*b òbmmo nàc #oramo òmk*umk

lopot hamaeoe#om rnea#om lbo"rokho polo *b*b

bp*bòtaro`% &,',.

1rouho oroc lapom pambmk#otom ta#om bmtro

oelnham omk hamlolo# rnea#om rolbar omk

pomjomk polo *b*b pn*tarnòtaro` omk *a(oro

aherbn`nkb* harupo#om eokbom taràhoc% &,',.



@OMJQ\OM…

2./ ruptur lbo"rokho pl *b*b #brb, *b*b #omom

trouho omk caeothamaeoe#om

komkkuom cahnlbmohb#%

1rouho #amloroom earhntnr oroc trouhohamamtu#om `n#o*b bmjur, lb omolo lom OY

ebo*omo omk tar#amo olo`oc *b*b #brb

#cu*u*mo polo po*bam omk hamatbr

hneb`, *alomk#om polo pamuhpomk ebo*omoomk tar#amo *b*b #omom%



1rouho tuhpu`rnea#om rolbar halbo*tbmuh

lamkom u#urom .-B. (h, po`bmk *arbmk polo *b*b

pn*tarnòtaro`, *aeo`b#mo trouho taheu*

rnea#om `bmbar omk #a(b` 6' (h lom eartocum-

tocum #ahulbom hambheu`#om paàeorom

rnea#om lom tarjolb carmbo*b%

ha#mb*ha tarjolbmo ruptur lbo"rokho: !B$

rnea#om haherom omk hamkoòhb torb#om

!straticbmk), !'$ o0u`*b lbo"rokho lorb tbtb#

bm*ar*bmo, !+$ ta#omom hamlolo# polo

nrkom 0b*(aro omk lbtaru*#om #a lbo"rokho%



KOHEOUOM F@BMBY

aùcom: marb apbko*trbuh, tbheu`

rakurkbto*b, ro*o tarta#om polo halbo*tbmo`,

lb*pmao, po`pbto*b, eotu#, marb oelnham

omk tblo# #co*%2

8aharb#*oom "b*b# lblopotb#om karo#om

parmo"o*om omk tartbmkko`, par#u*b pa#o#,

"rahbtu* hamkcbòmk, *uoro parmo"o*om

hamkcbòmk lom humk#bm tarlamkor eb*bmku*u* polo cahbtnro#* omk hamkoòhb

trouho%



LBOKMNYBY

Eaearopo oc`b haheokb ruptur lbo"rokho earlo*or#om

)o#tu hamlbokmn*b*mo hamjolb: .

O. Aor`y lbokmnsbs

&% Lbokmn*b* tblo# tohpo# jaò* lom cohpbr .</ po*bam

ruptur lbo"rokho tblo# tarlbokmn*b* loòh '? johpartoho

'% =ajoò omk hum(u` ebo*omo olomo tomlo komkkuom

parmopo*om

+% 8aharb#*oom "b*b# omk hamlu#umk: *uoro eb*bmk u*u*

lb lbmlbmk tcnro# lom par#u*b omk ralup lb lbmlbmktcnro# omk tar#amo%

E. Laòyal lbokmnsbs

1blo# tarlbokmn*b* loòh ? joh partoho o#om

hum(u` eaearopo euòm eoc#om tocum #ahulbom%



@OMJQ\OM…

=rbha* haheomkbmo loòh + "o*a, obtu: .

&% o#ut, *a*oot *ataòc trouho

'% òtam,tblo# tarlbokmn*b* polo o)o` trouho

ebo*omo o*bhptnhotb#

*ataòc *a#bom òhoeoru hum(u` carmbo*b lom *akoò #nhp`b#o*bmo

+% ne*tru#tb",lbtomlob 0b*aro` carmbo*b,

ne*tru#*b, *tromkuò*b eoc#om ruptur ko*tar

otou #n`nm% Ebò carmbo*b hambheu`#om kajoò#nhpra*b poru omk moto lopot hamaeoe#om

tam*bnm pmauhntcnro#, #orlbo# tohpnmola%



WAHAUBFYOOM WAMQMJOMK

Dntn tcnro3 lpt hamlata#*b '+-2+/ ruptur

lbo"rokholbtahu#om koheorom oemnrho` *apartb

olomo b*b oelnham polo rnmkko tcnro#*, tar`bcot

*aòmk G=1 lb loòh rnmkko tcnro#*, pambmkkbom

cahblbo"rokho !#brb àebc tbmkkb lorb polo #omom$, lomeoto* lbo"rokho omk tblo# jaò*%

1 *(om hahb`b#b mbòb *am*btb0bto* &?-4'/ lamkom

*pa*b"b*bto* 42/, polo Ca`b(o` 1, *am*tb"bto* hambmk#ot

2& -&<</, tomlo ruptur lbo"rokho polo 1- Y(om

obtu: !&$ koheorom òmk*umk olomo la"a(t, !'$koheorom lbo"rokho *a(oro *akhamto` tblo# tar`bcot,

!+$ carmbo*b nrkom 0b*(aro #a bmtro tcnro#, !?$ in`òr

sbkm, ear#obtom lamkom #nm*trb#*b àmk#umk u*u* omk

hamkoòhb carmbo*b%



WAHAUBFYOOM WAMQMJOMK

Dntn 1cnro3 &'



@OMJQ\OM… 1 Y(om &+



@OMJQ\OM…

Y= Do*t &?



HUB &.



\cnroinsinpy &.



@OMJQ\OM…

@oporn*#npb lbokmn*tb( otou 0blan-o**b*tal

tcnro(n*(npb( *urkar !IO1Y$polo po*bam

*toeb` lbhomo lbluko tarlopot rnea#om

lbo"rokho



LBOKMNYBY EOMLBMK

8mauhntcnro3



WAMKA@N@OOM

O% Gnm Ealoc

8artn`nmkom partoho ra*u*bto*b o)o` *apartb prntn(n`

O1@Y, omk po`bmk pamtbmk oloòc (nmtrn` parmopo*om%

Yaòmjutmo *bop#om po*bam umtu# nparo*b%

8o*omk G=1

E% Ealoc

Lbtahu#om "o*a o#ut trouho oloòc òporntnhb,

otou omk joromk obtu tnro#ntnhb%

8rntn#n` omk earò#u uhuh loòh #nmlb*b o#ut oloòcpa(ocmo lbo"rokho lbla#otb lamkom hamkkumo#om

(a`bntnh #oramo (alaro bmtro-oelnham ear*ohoom

àebc humk#bm colbr lorb (alaro lolo



@OMJQ\OM…

8olo "o*a o#ut pamla#otom oelnhbmo` àebc

lbutoho#om% 8olo "o*a òmjut pamla#otom

trom*tnro#b# lb eutuc#om #oramo po*bam *arbmk

tarjolb paràmk#atom nrkom bmtrotnro#* '

alaro o#ut lbpareob#b hamkkumo#om jocbtomparhomam hnmn"bòham% @o*aro*b #a(b` lopot

lbpareob#b lamkom hamkkumo#om jocbtom tarputu*,

hotro* cnrb*nmto`, otou ta#mb# jocbtom laòpom

ò*aro*b omk àebc ea*or lopot lbpareob#b lamkompamutupom jocbtom taru*-hamaru* (inmtbmunus)

otou earòpb* komlo% Aocbtom omk lopot lb*arop

earcueumkom lamkom tbmk#ot #a#oheucom omk

tbmkkb% '



@OMJQ\OM…



@OMJQ\OM…

@oporn*#npb a#*p`nro*b oelnhbmo` loòh

#nmlb*b trouho hamjolb (oro omk pnpuàr

umtu# hamamtu#om opo#oc bmtakrbto*

lbo"rokho lbpartocom#om bm0o*b" hbmbho`

umtu# òmk*umk ha`bcot lbo"rokho umtu#

hamamtu#om opo#oc (alaro taòc tarjolb%

Lamkom tblo# olomo (alaro bmtro-oelnham

òbm, lbo"rokho lopot lamkom huloc

lbpareob#b lamkom hamarop#om ta#mb#

òporn*#npb% '



DN@@N[ QW 8amb`obom parbnlb# "umk*b poru '

Uolbnkro"b lolo '



WUNKMNYBY

Loòh ruptura lbo"rokho trouhotb#, nut(nha

polo uhuhmo tar#obt lamkom (alaro òbm

omk tar#obt% Hnrtoo`bto* lbòpnr#om *aeomo#

.,.-.&/%'



LOD\OU WQY\OFO&%Yjoh*ucblojot U% Lbo"rokho% Loòh: Eu#u Ojor B`hu Ealoc% Ao#orto% =% .&'%Omma \ Yoòlko% '<&'% Oiqubral lbopcrokhotbi carmbos% Lbo#*a* polo +< Aumb '<&?% Lorb

cttp:KKahalb(bma%hal*(opa%(nhKortb(àK?'4<..-n0ar0ba)

+%Gb(nò, @a)b*% '<&+% Lbopcrokhotb( Carmbo*% Lbo#*a* polo +< Aumb '<&?% Lorb c

ttp:KKahalb(bma%hal*(opa%(nhKortb(àK9+?4'?-n0ar0ba)

?%8b(#arbmk, Hor#% '<<'% 1ca lbopcrokh: t)n pc*bn`nkb(o` hu*(à bm nma% Lbo#*a* polo +< Aumb '<&?% Lorb:

cttp:KK)))%m(eb%m`h%mbc%kn0Kph(Kortb(à*K8H&.2<9'&K

.%La)oeamm % Carmbo Lbo"rokhotb#o 1rouhotb#o% nm`bma% '<&'% (btal Aom 9 : *(raam &K?% O0obòeà "rnh :

U@:cttp:KKcnha%(nJub%matKtbtnùknK8Y'5%cth`

5%Ycomlbmk E% Lbopcrokhotb( carmbo% Loòh: EacrhomU, `bakhom UH, Ga`*nm F, Ioukcom I,pamumtbmk% Ga`*nm 1a3tenn# n"

8albotrb(*% lb*b#aahpot eaò*% 8cbòla`pcbo: F%E% Youmlar* (nhpom,'<<<% c% &<+'-+%

2%Yujnmn, Colb% '<<'% Carmbo Lbo"rokhotb#o% Loòh: =o*trnamtarn`nkb% Eomlumk%Oùhmb% 8oka 94%

4%Y(c)ort, YL% nmkambto` lbopcrokhotb( carmbo* : lbo#*a* polo &+ jomuor '<&5% Lorb

cttp:KKahalb(bma%hal*(opa%(nhKortb(àK?'5&?'-n0ar0ba)

9%%Y% Gotbnmo` @beror n" Halb(bma% '<&5% Lbopcrokh oml @umk*% Lbo#*a* polo '< Aomuorb '<&5% Lorb:

cttp*:KK)))%m`h%mbc%kn0Khal`bmapù*Kam(Kbhokapoka*K&9+4<%cth

&<%Oharb(om 8albotrb( Yurkar O**n(botbnm% nmkambto` Lbopcrokhotb( Carmbo% '<&5% Lbo#*a* polo '< Aomuorb '<&5% 8olo:

cttp:KK)))%palbotrb(*urkarhl%nrkKOHK1ahpòta%("hYa(tbnm7@b*tMN"Mnmlbtbnm*;tahpòta7KHKnmtamtLb*pò%("h;nmta

mtB L7?'2&

&&%Du*(n, H%, HL% '<&&% Cboto` Carmbo% Lbo#*a* polo '< Aomuorb '<&5% Lorb: cttp:KK)))%hor#"u*(nhl%(nhKpac%cth &'%Co(#bmk %, Lr%, =ob`òrl, Drom#%, 8rn"%, at o`. Lbopcrokhoktb( Carmbo% Lbo#*a* polo '< Aomuorb '<&5% Lorb:

cttp:KKrolbnpoalbo%nrkKortb(à*Klbopcrokhotb(-carmbo

&+%a0bm H% Y(cu*tar oml bhear` O% Lo0b*% '<&+% Lbopcrokh%Loòh Hottn3, %@% HL%, Hnnra, %% HL%, Da`b(bomn% L%I%, HL%

1rouho% lb*b a-2% H(=ro)-Cb`` aEnn#*% Co`: .'9-.+2

&?%Ytapcam L% Ern)m, HL Aul O% *trn"", HL orn` % Eorma)n`t, HL% '<<?K Dato` HUB% Lbo#*a* polo: '< Aomuorb '<&5% Lorb:

cttp:KK)))%hal*(opa%(nhK0ba)ortb(àK?2<4+2M.

&.%8ora`#or, at o`. '<&&% Hbmbho` O((a** Yurkar bm Ga)enrm oml Yho`` Bm"omt* Db0a Raor* 3parbam(a% Lbo#*a* polo: '< Aomuorb

'<&5K Lorb:

cttp:KK)))%jnurmo`n"ho*%(nhKortb(à%o*pb**m7<92'-99?&aor7'<&+0nùha79b**ua7&*poka7&9apoka7'?ouò*t78ora #̀or

&5%8utro Y%, Cohbl O%, Yaholb BG% '<<5% Carmbo En(cloà#% Yorb 8albotrb, In`% 2, Gn%?% Co`: '+'-'+5

http://emedicine.medscape.com/article/428055-overview



http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1570921/

http://home.coqui.net/titolugo/PSU26.htm



https://www.nlm.nih.gov/medlineplus/ency/imagepages/19380.htm

http://www.pediatricsurgerymd.org/AM/Template.cfm?Section=List_Of_Conditions&template=/CM/ContentDisplay.cfm&ContentI%20D=4271


http://www.markfuscomd.com/peh.htm

http://radiopaedia.org/articles/diaphragmatic-hernia

http://www.medscape.com/viewarticle/470837_5


http://www.journalofmas.com/article.asp?issn=0972-9941;year=2013;volume=9;issue=1;spage=19;epage=24;aulast=Parelkar

http://www.journalofmas.com/article.asp?issn=0972-9941;year=2013;volume=9;issue=1;spage=19;epage=24;aulast=Parelkar


http://radiopaedia.org/articles/diaphragmatic-hernia

http://www.markfuscomd.com/peh.htm



https://www.nlm.nih.gov/medlineplus/ency/imagepages/19380.htm


http://home.coqui.net/titolugo/PSU26.htm

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1570921/






\AUBHO FOYBC

Hernia Diafragma Traumatika

Documents

Transcript of Hernia Diafragma Traumatika