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新生儿中表现为严重先天性心脏病的莫尔加尼膈疝:一例报告

Morgagni's diaphragmatic hernia mimicking a severe congenital heart disease in a newborn: a case report.

作者信息

Bassareo Pier Paolo, Neroni Paola, Montis Sabrina, Tumbarello Roberto

机构信息

Division of Paediatric Cardiology, Giuseppe Brotzu Hospital, P,le Alessandro Ricchi 1, 09100 Cagliari, Italy.

出版信息

J Med Case Rep. 2010 Dec 8;4:395. doi: 10.1186/1752-1947-4-395.

DOI:10.1186/1752-1947-4-395
PMID:21143832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3017073/
Abstract

INTRODUCTION

Morgagni's congenital diaphragmatic defect is a rare malformation, the diagnosis of which, as in our case report, may be problematic. To the best of our knowledge, this is the first report of this kind of hernia presenting with signs and symptoms of severe cardiac malformation.

CASE PRESENTATION

We report the case of a three-month-old Caucasian baby boy, who presented with heart failure and severe pulmonary hypertension. Compression of the heart by a bowel loop in the chest led to an incorrect diagnosis of congenital heart disease.

CONCLUSIONS

Even in this era of highly sophisticated diagnostic tools, a simple radiograph can provide sufficient information for a precise, rapid diagnosis.

摘要

引言

莫尔加尼先天性膈缺损是一种罕见的畸形,正如我们的病例报告所示,其诊断可能存在问题。据我们所知,这是首例出现严重心脏畸形体征和症状的此类疝的报告。

病例介绍

我们报告了一名3个月大的白种男婴病例,他出现心力衰竭和严重肺动脉高压。胸部肠袢对心脏的压迫导致先天性心脏病的误诊。

结论

即使在这个拥有高度精密诊断工具的时代,一张简单的X光片也能为精确、快速的诊断提供足够的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/f858a16ba6b2/1752-1947-4-395-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/3d68ff03aac8/1752-1947-4-395-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/497ec270146d/1752-1947-4-395-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/155d80192212/1752-1947-4-395-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/fe6a3cbe5841/1752-1947-4-395-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/f858a16ba6b2/1752-1947-4-395-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/3d68ff03aac8/1752-1947-4-395-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/497ec270146d/1752-1947-4-395-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/155d80192212/1752-1947-4-395-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/fe6a3cbe5841/1752-1947-4-395-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/3017073/f858a16ba6b2/1752-1947-4-395-5.jpg

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本文引用的文献

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Congenital diaphragmatic hernia and associated cardiovascular malformations: type, frequency, and impact on management.先天性膈疝及相关心血管畸形:类型、发生率及对治疗的影响。
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1989 - 1997年加利福尼亚州250万例出生病例中先天性膈疝的流行病学特征
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