摘要
目的:探讨新生儿先天性膈疝(congenital diaphragmatic hernia CDH)的诊治。方法:回顾性分析我院1999年1月～2008年11月收治的11例CDH的临床资料。结果:新生儿CDH好发于膈肌左侧,气促、呼吸困难、胸部闻及肠鸣音为最常见临床症状。X线片多可见纵隔移位、胸腔内有不规则充气的肠袢影或胃泡影、患侧肋膈角消失及膈面不清。结论:CDH虽然临床表现多样化,但往往具有一些典型临床表现,胸部X线片检查、胃肠道造影有助于本病诊断。新生儿CDH的死亡率较高,加强产前诊断及妇产科、新生儿内、外科的合作,可以提高患儿的存活率。早期诊断、术前综合诊治是提高存活率的关键。
Objective：To summarize the experience in diagnosis and treatment of congenital diaphragmatic hernia（CDH）in neonates.Methods：From Jan.1999 to Nov.2008,the clinical data of 11 cases of CDH were collected.Results：The CDH in neonates was common in left of diaphragma.The common clinical symptoms had tachypnea,dyspnea and borborygmus in chest.X-ray examination appeared shift in diaphragma,abnormal ansa intestinalis shadow and gastriole shadow in thoracic cavity,disappeared costo-phrenic angle and indistincted diaphragma.Conclusion：The clinical manifestations of CDH are various,some ones is typical.X-ray examinations and gastrointestinal visualization is helpful to diagnosis of CDH.The death rate of CDH in neonates is higher,so early diagnosis and combined diagnosis and treatment is the key to improve the survival rate.
出处
《内蒙古医学杂志》
2009年第7期791-792,共2页
Inner Mongolia Medical Journal
关键词
疝
横膈
新生儿
Hernia
Diaphragmatic muscle
Neonate
