Belío-Castillo C, Blanco-Rodríguez G, Rodríguez-Paredes H
Departamento de Cirugía, Hospital Infantil de México Federico Gómez, México, D.F.
Bol Med Hosp Infant Mex. 1992 May;49(5):291-5.
Diaphragmatic eventration is the abnormal elevation of the diaphragm as a result of paralysis, aplasia or atrophia of the muscular fibers. This is a diagnostic problem specially in the newborn. The objective of this report is present the clinical course and surgical management of 50 cases attended in the Hospital Infantil de México Federico Gómez. Of them, 56% were males; eight were newborns; five with previous surgery. The clinical course was variable; the landmark was the chest X-ray findings. There were operated 36 cases. The right diaphragm was the most frequent affected; the surgical management was with thoracotomy in the great majority of them. In 30 cases had good evolution two years after surgery.
膈膨升是由于肌纤维麻痹、发育不全或萎缩导致膈肌异常抬高。这在新生儿中尤其是一个诊断难题。本报告的目的是介绍在墨西哥费德里科·戈麦斯儿童医院诊治的50例患者的临床过程及外科治疗情况。其中,56%为男性;8例为新生儿;5例曾接受过手术。临床过程各不相同;标志性检查是胸部X线检查结果。36例患者接受了手术。右侧膈肌是最常受累部位;绝大多数患者的外科治疗采用开胸手术。30例患者术后两年病情进展良好。