Juwarkar Chitra Sanjeev, Kamble Deependra Suresh, Sawant Vishal
Department of Anaesthesia, Goa Medical College, Goa, India.
Indian J Anaesth. 2010 Sep;54(5):464-6. doi: 10.4103/0019-5049.71034.
Congenital diaphragmatic hernia (CDH) is described as (1) failure of diaphragmatic closure at development, (2) presence of herniated abdominal contents into chest and (3) pulmonary hypoplasia. Usually, pleural space is drained urgently when there is respiratory distress and radiological appearance of mediastinal shift. We present a case of a 5-month-old baby, diagnosed as tension pneumothorax and treated with chest drain insertion. CDH was the intraoperative diagnosis.
先天性膈疝（CDH）的特征为：（1）发育过程中膈肌闭合失败；（2）腹腔内容物疝入胸腔；（3）肺发育不全。通常，出现呼吸窘迫且影像学显示纵隔移位时，需紧急引流胸腔。我们报告一例5个月大婴儿，诊断为张力性气胸，通过插入胸腔引流管进行治疗。术中诊断为先天性膈疝。
