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新生儿Bochdalek疝的诊断与手术治疗体会 被引量:2

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摘要 新生儿Bochdalek疝是先天性膈疝的一种表现类型,如伴有肺发育不良或疝嵌闭时导致呼吸困难,危及小儿性命,必须引起重视。自1988年以来我们共收治五例,结果三例经手术治愈,另二例因放弃手术治疗而死亡,现通过病例分析结合文献学习将其诊断和手术治疗体会进行报告。 一、临床资料 病例1,性别男,日龄2小时,主要症状与体征:呼吸困难,颜面、口唇及肢端青紫,左肺听诊闻及干湿罗音;X线胸透拍片;心脏右移位,左胸有肠管状积气,并向腹部延伸;胃肠透视:
出处 《中国局解手术学杂志》 2000年第3期266-267,共2页
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  • 2Datin Dorriere V, Walter Nicolet E, Rousseau V, et al. Experience in the management of eighty-two newborns with congenital diaphragmatic hernia treated with high-frequency oscillatory ventilation and delayed surgery without the use of extracorporeal membrane oxygenation [ J ]. J Intensive Care Med,2008,23 (2): 128 - 135.
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  • 7Vaffre L, Braguglia A, Conforti A, et al. Long term follow-up in high-risk congenital diaphragmatic hernia survivors: patching the diaphragm affects the outcome [J]. J Pediatric Surg,2011,46 ( 1 ) :52 - 56.
  • 8Rosch R, Junge K, Schachtrupp A, et al. Mesh implants in hernia repair. Inflammatory cell response in a rat model [ J ]. Eur Surg Res, 2003,35(3) :161 - 166.
  • 9Hedrick HL. Evaluation and management of congenital diaphragmatic hernia[J]. Pediatr Case Rev,2001,1(1) :25 -36.
  • 10de Buys Roessingh AS, Dinh-Xuan AT. Congenital diaphragmatic hernia : current status and review of the literature [J]. Eur Journal of Pediatr,2009,168 (4) : 393-406.

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