新生儿胸腹裂孔疝十四年回顾

A Review of the Treatment of the Postero-Lateral Diaphragmatic Hernia in New born

我院自1972～1985年收治胸腹裂孔疝47例,术后存活39例,死亡8例,病死率17%.着重讨论其诊断和治疗方法.通过分析死亡原因和存活经验看出,本组存活者均大于3天,以左侧膈疝、有疝囊及并发症少者存活希望大.影响其预后的关键是先天性肺发育程度和换气功能.

Postero-lateral diaphragmatic hernia is a common respiratory emergency in newborns.The attack is sudden and.acute.Were the operation not to be performed in time,it will threaten the life of the baby.47 cases younger than 2 months of age were treated surgically in Beijing Children's Hospital from 1972 to 1985.39 were cured and 8 died,the mortality being 17%.On the basis of a clinical review,various factors relating to the prognosis of this disease are discussed in the paper,such as the age when first attacked,the sex,the birth history,the location of the hernia,with or without a hernial sac, associated malformations,complications, and the organs herniated into the thoracic cavity.It is deemed that babies above 3 days of age with left side hernia will expect to have less complication,the better development of the lungs,and more chance of survival.The clinical symptoms,signs and treatment are also described in the paper.