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[先天性膈疝的晚期表现——病例报告]

[Late manifestation of congenital diaphragmatic hernia - case report].

作者信息

Koziarkiewicz Maria, Piaseczna-Piotrowska Anna

机构信息

Klinika Chirurgii i Urologii Dzieciecej Kierownik: prof. dr hab. med. A. Chilarski Instytut Centrum Zdrowia Matki Polki Dyrektor: prof. dr hab. n. med. P Oszukowski, Łódź.

出版信息

Med Wieku Rozwoj. 2011 Jan-Mar;15(1):106-9.

Abstract

Congenital diaphragmatic hernia (CDH) in most cases presents immediately or within hours after birth with signs of respiratory failure: dyspnea, tachypnea, and cyanosis. Late presentation of CDH (beyond the neonatal period) is less common and represents true diagnostic challenge. Diagnosis of the defect is difficult. Symptoms are non-specific and can be misleading. Late onset of this anomaly must be considered in the differential diagnosis of chronic gastrointestinal or respiratory symptoms. The aim of this report is a case of 17 year old boy with delayed presentation of congenital diaphragmatic hernia.

摘要

先天性膈疝(CDH)在大多数情况下在出生后立即或数小时内出现呼吸衰竭症状:呼吸困难、呼吸急促和发绀。CDH的延迟表现(超过新生儿期)较少见,是真正的诊断挑战。该缺陷的诊断困难。症状不具特异性且可能产生误导。在慢性胃肠道或呼吸道症状的鉴别诊断中必须考虑这种异常的迟发情况。本报告的目的是介绍一例17岁先天性膈疝延迟表现的男孩病例。

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