先天性膈疝二例误诊原因分析

Two cases of congenital diaphragmatocele misdiagnosis

目的总结先天性膈疝的临床特征及误诊原因,以提高对本病的认识。方法对我院收治的先天性膈疝2例患儿的临床资料进行回顾性分析。结果男1例56天,女1例4岁,主要临床特点:二例均以呼吸道感染为首发症状,1例为支气管肺炎伴难以纠正的心衰表现,另1例为反复呕吐、腹痛难以缓解的胃肠道症状,2例经摄X线胸片后确诊,并及时转外科治疗。结论先天性膈疝临床表现多种多样,缺乏特异性,并发症多,严重者危及生命;对有呼吸、消化或/和循环系统疾病症状者应常规摄胸片有助于提高诊断率,为尽早治疗提供有利时机。

Objective ： To summarize the clinical characteristics of congenital diaphragmatocele and misdiagnosis to raise awareness of the disease. Methods： The hospital from children with congenital diaphragmatocele in 2 cases were retrospectively analyzed. Results ： 1 male 56 days, 1 female 4 years old, the main clinical features ： respiratory tract infection are the first symptom on two cases 1 case of bronchial pneumonia and heart failure is difficult to correct the performance of the other 1 case was recurrent vomiting, abdominal pain is difficuh to relieve gastrointestinal symptoms, 2 patients with X - ray taken after the diagnosis, and timely transfer of surgical treatment. Conclusion： The congenital diaphragmatocele is a variety of clinical manifestations, lack of specificity, complications and more serious life- threatening; on the respiratory, digestive and / or symptoms of cardiovascular diseases should be routinely taken chest radiograph help to improve dianosis rates, as treatment of favorable opportunities as soon as possible.