吴春 杨杰先 潘征夏 400014 重庆医科大学儿童医院胸心外科 中华小儿外科杂志 1999 0 20 5


    关键词：膈膨出；婴幼儿；外科；手术 期刊 zhxrwkzz 0 临床研究 fur -->


    

【摘要】 目的 探讨先天性婴幼儿膈膨出的病因、临床特点、诊断及治疗方法。方法 对近10年来收治的12例先天性婴幼儿膈膨出进行回顾性分析。结果 本组12例中，行膈肌折叠手术治疗8例，3例为右侧因膨出程度及症状较轻而未手术，1例因合并多发畸形放弃治疗，术后死亡1例，其余效果良好。结论 先天性婴幼儿膈膨出病因不明确，可能与遗传、胎儿宫内感染以及药物有关，低体重和反复呼吸道感染是该症的主要临床特征。早期诊断和手术治疗可获得满意疗效。

    Diagnosis andManagement of Congenital Diaphragmatic Eventration in Infants.

WU Chun, YANG Jiexian, PAN Zhengxia.

    Department of Pediatric Thoracic Surgery, Chongqing Children’s Hospital, ChongqingMedical University of Scienc e. Chongqing 400014

【Abstract】 Objective Toreview the clinical presentation, diagnosis and management of congenital diap hragmatic eventration. Methods Retrospective study was carried out on 12 infantswith congenital diaphragmatic eventration admitted over the last 10 years. Results Ofthem, 8 underwent diaphragmatic plication, 3 c ases with minimal symptoms were managedconservatively and 1 refused the treatme nt for multiple malformations. There was oneoperative mortality. The remaining patients recovered well. Conclusions Theetiology of congenital diaphragmatic even tration remains unclear. The main clinicalfeatures are repeated respiratory inf ections and weight loss. Early diagnosis andoperative management have been prov en to be satisfactory.

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