Jubber Ibrahim, Madani Yasser, Yousaf Siama, Jubber Akeel
St George's, University of London, London, UK.
BMJ Case Rep. 2014 Apr 1;2014:bcr2014203915. doi: 10.1136/bcr-2014-203915.
Bochdalek hernias occur as a result of a congenital defect in the diaphragm enabling abdominal viscera to enter the thoracic cavity restricting lung expansion and ventilation. Bochdalek hernias, in the majority of cases, present in neonates and very rarely in adults. To the best of our knowledge, there are only four published cases of Bochdalek hernia in the adult population causing respiratory failure. We present the case of an 87-year-old woman who had three admissions in the past 6 months with type II respiratory failure due to a Bochdalek hernia which we believe was congenital but had gradually increased in size over the years to cause progressive decompensation with acute exacerbations requiring non-invasive ventilation.
博赫dalek疝是由于膈肌先天性缺陷导致腹腔脏器进入胸腔，限制肺扩张和通气而发生的。在大多数情况下，博赫dalek疝出现在新生儿中，在成人中非常罕见。据我们所知，仅有4例已发表的成人博赫dalek疝导致呼吸衰竭的病例。我们报告一例87岁女性患者，在过去6个月内因博赫dalek疝3次入院，诊断为II型呼吸衰竭。我们认为该疝为先天性，但多年来逐渐增大，导致进行性失代偿，并急性加重，需要无创通气。
