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一名右侧先天性膈疝婴儿手术修复后肺部获得成功恢复。

Successful lung response after surgical repair in an infant with right-sided congenital diaphragmatic hernia.

作者信息

Gasparroni Giorgia, Perrotta Marika, Chiavaroli Valentina, Petrucci Altea, Di Credico Simona, Cicioni Paola, Mohn Angelika, Lisi Gabriele, Lelli Chiesa Pierluigi, Di Valerio Susanna

机构信息

Department of Pediatrics, University of Chieti, Chieti, Italy.

Neonatal Intensive Care Unit, Pescara Public Hospital, Pescara, Italy.

出版信息

Radiol Case Rep. 2020 Jul 3;15(9):1502-1505. doi: 10.1016/j.radcr.2020.06.020. eCollection 2020 Sep.

Abstract

Congenital diaphragmatic hernia is a rare condition associated with pulmonary complications as the abdominal viscera herniated into the chest may affect lungs development. We present the case of a male newborn baby with a prenatal diagnosis of a posterolateral defect (Bochdalek hernia) involving the right side. The infant underwent surgical repair at 3 days of life, and the post-surgery chest X-ray did not reveal morpho-structural alterations of the lungs and diaphragmatic profile. Our clinical case shows that patients may have a better lung outcome despite an initial unfavorable picture. Prenatal diagnosis is essential in identifying infants with congenital diaphragmatic hernia, especially those cases at higher risk for the worse outcomes, to optimize their clinical and surgical management.

摘要

先天性膈疝是一种罕见疾病,与肺部并发症相关,因为疝入胸腔的腹腔脏器可能影响肺部发育。我们报告一例男性新生儿病例,产前诊断为右侧后外侧缺损(Bochdalek疝)。该婴儿在出生3天时接受了手术修复,术后胸部X线检查未显示肺部和膈肌轮廓的形态结构改变。我们的临床病例表明,尽管最初情况不利,但患者可能有较好的肺部预后。产前诊断对于识别先天性膈疝婴儿至关重要,尤其是那些预后较差风险较高的病例,以优化其临床和手术管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22a8/7339008/9b0a3098924a/gr1.jpg

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本文引用的文献

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Abnormal lung development in congenital diaphragmatic hernia.先天性膈疝中的肺发育异常。
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Development of the lung.肺的发育
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Orphanet J Rare Dis. 2012 Jan 3;7:1. doi: 10.1186/1750-1172-7-1.
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