[先天性膈疝的延迟发现：诊断困难。两例报告]

[Delayed discovery of congenital diaphragmatic hernia: diagnostic difficulties. A report of two cases].

作者信息

Coste C, Jouvencel P, Debuch C, Argote C, Lavrand F, Feghali H, Brissaud O

机构信息

Service des urgences, centre hospitalier général de Langon, 33210 Langon, France.

出版信息

Arch Pediatr. 2004 Aug;11(8):929-31. doi: 10.1016/j.arcped.2004.04.018.

DOI:10.1016/j.arcped.2004.04.018

PMID:15288084

Abstract

Delayed revelation of congenital diaphragmatic hernias (CDH) is not uncommon and can represent 5-30% of total CDHs. Time before diagnosis may be prolonged, sometimes to the adult period. Respiratory and gastrointestinal symptoms are frequent but not specific. The clinical presentation of delayed CDH may thus mislead the practitioner. Diagnosis can be approached and/or confirmed by plain radiography. Outcome is usually favorable after surgery. We report two cases of delayed CDH and we discuss the difficulty of diagnosis.

摘要

先天性膈疝（CDH）延迟发现并不罕见，可占全部CDH的5% - 30%。诊断前的时间可能会延长，有时会延至成年期。呼吸和胃肠道症状很常见，但不具有特异性。因此，延迟性CDH的临床表现可能会误导医生。通过X线平片可进行诊断和/或确诊。手术治疗后通常预后良好。我们报告两例延迟性CDH病例，并讨论诊断的难点。