病例女,9岁。出生时即发现心前区有广泛而明显的心脏搏动,局部稍隆起。站立时上腹壁正中至脐部有一拳头大小的包块。患儿无气喘、紫绀等症状。体检发现患儿胸骨短小,其下极止于第4肋间,心脏表面仅有一层皮肤覆盖。心脏触诊稍重时可诱发早搏,未闻及病理性心脏杂音。彩色多普勒超声心动图检查示心脏形态及活动未见异常(图1)。上腹部中央至脐部有一柔软包块,平卧时包块可回纳。诊断为先天性胸骨裂伴上腹白线疝和脐疝(图2)。手术和治疗手术在全麻下进行。术中发现疝囊颈部 Case female, 9 years old. Found at birth that a precordial area has a broad and obvious heart beat, local slightly elevated. Standing on the middle of the abdomen to the umbilical cord has a fist-sized mass. Children without asthma, cyanosis and other symptoms. Physical examination found that patients with short sternal breast, the next most extreme in the fourth intercostal space, the heart surface is only a layer of skin cover. Heart palpation slightly heavier can induce premature beats, no smell and pathological heart murmur. Color Doppler echocardiography showed no abnormalities in cardiac morphology and activity (Figure 1). Upper abdomen to the umbilical cord has a soft mass, when supine mass can be satisfied. Diagnosis of congenital sternal fissure with upper abdomen white line hernia and umbilical hernia (Figure 2). Surgery and treatment under general anesthesia. Intraoperative hernia sac found neck