目的 :提高对小儿创伤性膈疝临床特点的认识 ,并对其手术治疗方法进行探讨。方法 :对 2 0例小儿创伤性膈疝进行回顾性分析 ,总结其临床特点、手术方法及治疗效果。结果 :本组病人临床表现复杂 ,误诊率高 ,撕脱伤多见 ,绕肋缝合效果可靠。结论 :小儿创伤性膈疝的诊断应根据胸部X线表现及病史、体征等进行综合分析 ,治疗宜早期手术 ,采用较低肋间前外侧切口开胸及绕肋缝合有助于提高手术成功率 Objective: To improve the understanding of clinical features of pediatric traumatic diaphragmatic hernia and discuss its surgical treatment. Methods: Twenty traumatic diaphragmatic hernias were retrospectively analyzed, and their clinical features, surgical methods and therapeutic effects were summarized. Results: The clinical manifestations of this group of patients with complex, high misdiagnosis, avulsion more common, reliable results around the rib suture. Conclusion: The diagnosis of pediatric traumatic diaphragmatic hernia should be based on chest X-ray findings and history, signs and other comprehensive analysis, treatment should be early surgery, the use of lower intercostal anterolateral incision thoracotomy and suture around the ribs to help improve the success rate of surgery