Department of Internal Medicine and Pulmonary Diseases, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Respir Care. 2011 May;56(5):691-4. doi: 10.4187/respcare.00817. Epub 2011 Jan 27.
Bochdalek hernia occurs from a congenital defect of the diaphragm, allowing the passage of abdominal structures into the thoracic cavity, limiting lung expansion and ventilatory function. Bochdalek hernia is common in neonates but rarely occur in adults; there are only 4 documented cases in the elderly population. We present a case of an 88-year-old woman with severe hypoxia and respiratory failure that required ventilatory support, in whom bilateral Bochdalek hernias progressed over the years and severely invaded the thoracic cavity, causing acute decompensation. This is a rare condition in adults but can cause substantial morbidity when the involvement of the thoracic cavity is severe.
波希代尔克疝是由于膈先天性缺陷引起的，导致腹部结构进入胸腔，限制了肺的扩张和通气功能。波希代尔克疝在新生儿中很常见，但在成人中很少见；老年人群中只有 4 例有记录。我们报告了一例 88 岁女性，因严重低氧血症和呼吸衰竭需要通气支持，双侧波希代尔克疝多年来逐渐进展，严重侵犯胸腔，导致急性失代偿。这在成人中较为罕见，但当胸腔受累严重时，会导致严重的发病率。
