新生儿先天性膈疝(附9例报告)

CONGNITAL DIAPHRAGMATIC HERNIA IN NEONATE——REPORT OF 9 CASES

报道经手术或尸检确诊的新生儿先天性膈疝9例。均为左后外侧疝,其中5例合并其他部位的畸形,死亡5例中的4例生前未能明确诊断。临床上均表现有呼吸困难与紫绀。此症易误诊,故凡新生儿出生后即出现紫绀,呼吸困难者,都要鉴别有无先天性膈疝并立即摄X光平片。一旦确诊,即应在短时间内作好术前准备,以便施行紧急手术。影响预后的关键问题是肺的发育程度和通气功能。

This paper reports nine neonatal patients with congenital diaphragma- tic hernia diagnosted by operation or autopsy. All of 9 cases are left pos- terolateral defect in the diaphragm. Five have other complicatel malfor- mations. Four dead patients haven't certainly diagnosis in living. Nine pa- tients have dyspnea and cyanosis. This disease is easy to he misdiagnosed. If a baby shows above symptoms such as dyspnea and cyanosis, diagnosis of the congenital diaphragmatic hernia must be suspected and X-ray must be taken immediately. An emergency operation must he taken after certain diagnosis. The prognosis depends on the development and ventilation of the lungs.