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先天性右膈膨升症国内文献报道较少,我们遇到3例,现报告如下。 病例 例1,男,1岁10月。发热、咳嗽5天,腹泻1天。 体查:急性病容,气促发绀。右肺呼吸音减低,闻及少量细湿罗音,心正常。肝浊音界上段,肋下肝脾未扪及。X线检查:卧位胸部正位片示右膈位于第三前肋末端水平(图1)。人工气腹造影后摄立位胸部正位片示膈位于第三前肋,膈影呈线状,完整光滑,膈下有约1cm厚气影。肝上移,表面光滑。透视下膈随呼吸上下运动,无矛盾运动。诊断:先天性右膈膨升症。 例2,男,1岁3月。因咳嗽、气促、低热2天住院治
Congenital diaphragmatic hemorrhagic domestic literature less reported, we encountered 3 cases, are as follows. Case 1, male, 1 year old in October. Fever, cough 5 days, diarrhea 1 day. Physical examination: acute illness, shortness of breath cyanosis. Right lung breath sounds reduced, smell a small amount of fine wet rales, normal heart. Upper part of the liver dullness, ribs under the liver and spleen not palpable. X-ray examination: supine chest anteroposterior film shows the right anterior third diaphragm level (Figure 1). Postoperative artificial pneumoperitoneum Positve chest Anteroposterior film shows the diaphragm in the third anterior rib, diaphragmatic shadow was linear, complete and smooth, diaphragm about 1cm thick ghost. Liver up, smooth surface. Under the perspective of the diaphragm with breathing up and down exercise, no contradictory movement. Diagnosis: congenital right diaphragm hyperostosis. Example 2, male, 1 year old in March. Due to cough, shortness of breath, fever 2 days in hospital