Choudhry Muhammad, Rusu Simona, Brooks Peter, Ogundipe Enitan, Chuang Shu-Ling
Department of Pediatric Surgery, Chelsea and Westminster Hospital National Health Service Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland.
Department of Anaesthesia, Chelsea and Westminster Hospital National Health Service Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland.
European J Pediatr Surg Rep. 2021 Jan;9(1):e13-e16. doi: 10.1055/s-0040-1721473. Epub 2021 Jan 28.
We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.
我们报告了首例成功的对一名孕28周出生、体重1043克的早产儿进行先天性膈疝（CDH）的初次胸腔镜修复手术。出生第1天的产后胸部X光检查偶然发现左侧CDH。该新生儿随后在出生第8天、体重1150克时接受了胸腔镜修复手术，对缺损进行了初次缝合。术中包括呼气末二氧化碳在内的动脉血气监测始终保持在正常范围内。术后恢复顺利。1岁时的神经发育结果与年龄相符，且未出现CDH复发。
