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Update on managing diaphragmatic rupture in blunt trauma: a review of 208 consecutive cases.(RESEARCH/RECHERCHE)(Clinical report)
Blunt diaphragmatic rupture (BDR) occurs in up to 5% of trauma patients admitted to hospital. (1) The condition is rare and represents a challenge to diagnosis and management, particularly for the general surgeon who does not see this injury routinely and who may not be comfortable managing the associated severe injuries. To avoid missing a BDR, one must maintain a high index of suspicion based on the mechanism of injury. Recent advances in imaging technology must be incorporated into the diagnostic armamentarium and into decision-making. Once diagnosed, management of BDR focuses on ventilatory support, treatment of associated injuries and surgical repair of the ...
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