Thommesen P, Hedemand N
Rofo. 1975 Feb;122(2):156-60. doi: 10.1055/s-0029-1230044.
Of 29 patients with hernia Bochdaleck there were 11 in the non surgical group and 18 in the surgical group. 14 were operated in the first 24 hours of life, and 4 patients after that time. No patients in the non-surgical group survived. In patients who were operated upon in the first 24 hours of life, 5 survived, and after that time 3. In all cases the transthoracic approach was used. The investigation did not permit any safe judgement of the preoperative treatment. On these conditions multiple anomalies combined with prematurity and intrauterine asphyxia had some influence on, whether a patient lived so long, that an operation could take place. Gastro-intestinal anomalies had a certain prognostic significance in the postoperative period. In cured patients the severity of a complicating cardiac failure could be of some importance.
在29例Bochdaleck疝患者中，非手术组有11例，手术组有18例。14例在出生后的头24小时内接受了手术，4例在那之后接受手术。非手术组无患者存活。在出生后头24小时内接受手术的患者中，5例存活，在那之后接受手术的患者中，3例存活。所有病例均采用经胸入路。该研究无法对术前治疗做出任何安全的判断。在这些情况下，多种畸形合并早产和宫内窒息对患者能否存活足够长时间以进行手术有一定影响。胃肠道畸形在术后有一定的预后意义。在治愈的患者中，并发心力衰竭的严重程度可能具有一定重要性。
