Stolar C J, Berdon W E, Dillon P W, Reyes C, Abramson S J, Amodio J B
Division of Pediatric Surgery, Babies Hospital, Columbia Presbyterian Medical Center, New York, NY 10032.
AJR Am J Roentgenol. 1988 Jul;151(1):135-7. doi: 10.2214/ajr.151.1.135.
Extracorporeal membrane oxygenation (ECMO) for survivors of surgical repair of congenital diaphragmatic hernia was used in 14 neonates. All showed marked esophageal dilatation on postoperative chest radiographs; the dilated esophagus simulated an air- or fluid-filled mass. All patients were later shown to have marked gastroesophageal reflux as well. The finding suggests a problem in swallowing exists before birth, which may explain the recent correlation between diaphragmatic hernia and hydramnios. The observation of a mediastinal mass in neonates with congenital diaphragmatic hernia may represent esophageal ectasia and may be related to significant gastroesophageal reflux.
14例先天性膈疝手术修复术后幸存者接受了体外膜肺氧合（ECMO）治疗。所有患儿术后胸部X线片均显示明显的食管扩张；扩张的食管类似充满气体或液体的肿块。所有患儿后来也均被证实有明显的胃食管反流。这一发现提示出生前就存在吞咽问题，这可能解释了近期膈疝与羊水过多之间的关联。先天性膈疝新生儿出现纵隔肿块的情况可能代表食管扩张，且可能与严重的胃食管反流有关。
