Ketonen P, Mattila S P, Harjola P T, Järvinen A, Mattila T
Acta Chir Scand. 1975;141(7):628-32.
Five adult patients with the Bochdalek type of congenital diaphragmatic hernia are presented. Four of the hernias were on the left side and one on the right. One of the patients was asymptomatic, while 3 of them had gastrointestinal symptoms. In 2 of these 3 cases, the symptoms became worse when the patients were lying down. One patient complained mostly of dyspnoea, and also had a patent ductus arteriosus. The other anomaly, in addition to hernia, was diaphragmatic pulmonary sequestration. All the patients were operated on transthoracally. In one case, laparotomy was also performed. There was no strangulation in any of the cases. No operative or postoperative complications occurred. A complete roentgenologic examination including chest X-ray, barium meal, barium enema, and sometimes pneumoperitoneum may be needed in order to make an accurate diagnosis preoperatively. Because of the strangulation danger operation is recommended whenever the diagnosis is made.
本文介绍了5例Bochdalek型先天性膈疝的成年患者。其中4例疝位于左侧，1例位于右侧。1例患者无症状，另外3例有胃肠道症状。在这3例中的2例，患者躺下时症状加重。1例患者主要抱怨呼吸困难，同时患有动脉导管未闭。除疝外，另一例异常为膈肺隔离症。所有患者均接受了经胸手术。1例还进行了剖腹手术。所有病例均无绞窄。未发生手术或术后并发症。术前可能需要进行包括胸部X线、钡餐、钡灌肠，有时还需要气腹造影在内的全面影像学检查，以做出准确诊断。由于存在绞窄风险，一旦确诊即建议手术。
