García-Muñoz F, Santana C, Reyes D, Wiehoff A, López-Pinto J M, García-Alix A
Neonatal Unit, Department of Paediatrics, Hospital Universitario Materno-Infantil de Canarias, Las Palmas de Gran Canaria, Spain.
Acta Paediatr. 2001 Jan;90(1):96-8.
A male newborn was admitted to our Unit because of early sepsis and shock. He required antimicrobial therapy and mechanical ventilation and initially did well, although he exhibited jaundice and cholestasis. During the second week he deteriorated, with radiological opacification of the right hemithorax and pleural effusion, and did poorly in spite of antibiotical therapy and drainage of the effusion. In the third week, the X-ray suggested some bowel loops in the right hemithorax. A right-sided diaphragmatic hernia was confirmed by a CT-scan, and surgery was performed with good outcome. The association of delayed-onset right-sided CDH following early sepsis and obstructive jaundice has not been published before, and illustrates a scarcely known form of presentation of this condition.
一名男婴因早期败血症和休克入住我们科室。他需要抗菌治疗和机械通气，最初情况良好，尽管出现了黄疸和胆汁淤积。在第二周，他病情恶化，右侧胸腔出现放射学不透明和胸腔积液，尽管进行了抗生素治疗和胸腔积液引流，情况仍不佳。在第三周，X线显示右侧胸腔有一些肠袢。CT扫描证实为右侧膈疝，并进行了手术，结果良好。早期败血症和梗阻性黄疸后延迟出现的右侧先天性膈疝的关联此前尚未见报道，这说明了这种疾病一种鲜为人知的表现形式。
