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先天性膈疝:青少年期的误诊

Congenital diaphragmatic hernia: Misdiagnosis in adolescence.

作者信息

Kadian Yogender Singh, Rattan Kamal Nain, Verma Manish, Kajal Pradep

机构信息

Department of Pediatric Surgery, Pt.B.D. Sharma P.G.I.M.S. Rohtak, India.

出版信息

J Indian Assoc Pediatr Surg. 2009 Jan;14(1):31-3. doi: 10.4103/0971-9261.44775.

DOI:10.4103/0971-9261.44775
PMID:20177443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2809462/
Abstract

We report 3 cases of congenital diaphragmatic hernia (CDH) in the second decade of life which were misdiagnosed on initial presentation. The first case had an iatrogenic gastric injury because of intercostal tube drainage for suspected pleural effusion. The second case was treated for pulmonary tuberculosis for 6 months before being diagnosed as a case of CDH. The third case presented as acute chest pain on the left side. It was treated accordingly for 1 month and was diagnosed as a CDH on a CT scan of the chest when seen by a surgeon.

摘要

我们报告了3例在第二个十年出现的先天性膈疝(CDH)病例,这些病例在初次就诊时被误诊。第一例因怀疑胸腔积液行肋间置管引流而导致医源性胃损伤。第二例在被诊断为CDH之前,因肺结核接受了6个月的治疗。第三例表现为左侧急性胸痛。相应治疗1个月后,外科医生进行胸部CT扫描时诊断为CDH。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/2809462/08a9d8ad00b1/JIAPS-14-31-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/2809462/79ee8bd4585a/JIAPS-14-31-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/2809462/08a9d8ad00b1/JIAPS-14-31-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/2809462/79ee8bd4585a/JIAPS-14-31-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/2809462/08a9d8ad00b1/JIAPS-14-31-g002.jpg

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本文引用的文献

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Diaphragmatic hernia simulating a left pleural effusion.模拟左侧胸腔积液的膈疝
Pediatrics. 2003 Dec;112(6 Pt 1):e487. doi: 10.1542/peds.112.6.e487.
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CT recognition of traumatic rupture of the diaphragm.创伤性膈肌破裂的CT诊断
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