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为提高新生儿先天性膈疝(CDH)的早期诊断、治疗及预后水平,对28例先天性膈疝病例进行临床特征、手术过程回顾性分析。全部进行正位及侧位胸部X-线检查,5例做上消化道造影,13例做血气分析。X-线证实胸腔内有含水的肠管,腹腔没有气体,部分患儿有胃食管返流(GER)、存在吸入性肺炎或脑发育不全;血气分析显示部分婴儿严重的缺氧、呼吸性酸中毒;消化道造影显示结肠或小肠在胸腔内。结果:2例新生儿放弃治疗,26例患儿手术治疗,3例死亡,23例病人恢复良好。结论:对患有先天性膈疝的新生儿必须早期诊断和手术治疗。
To improve the early diagnosis, treatment and prognosis of neonatal congenital diaphragmatic hernia (CDH), 28 cases of congenital diaphragmatic hernia were retrospectively analyzed. All the anteroposterior and lateral chest X-ray examination, 5 cases of upper gastrointestinal angiography, 13 cases of blood gas analysis. X-ray confirmed pleural cavity with watery intestine, abdominal gas, some children have gastroesophageal reflux (GER), there is aspiration pneumonia or brain hypoplasia; blood gas analysis showed that some infants with severe hypoxia, respiratory acidosis ; Gastrointestinal angiography showed the colon or small intestine in the chest. Results: Two newborns gave up their treatment, 26 were treated surgically, 3 died and 23 patients recovered well. Conclusion: Neonates with congenital diaphragmatic hernia must be diagnosed early and treated surgically.