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我们该怎么跟家长说呢?先天性膈疝。

What should we tell parents? Congenital diaphragmatic hernia.

作者信息

Russo Francesca M, Debeer Anne, De Coppi Paolo, Devriendt Koenraad, Crombag Neeltje, Hubble Talia, Power Beverley, Benachi Alexandra, Deprest Jan

机构信息

Clinical Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.

Academic Department of Development and Regeneration, Cluster Woman and Child, KU Leuven, Leuven, Belgium.

出版信息

Prenat Diagn. 2022 Mar;42(3):398-407. doi: 10.1002/pd.5880. Epub 2021 Feb 18.

Abstract

Congenital diaphragmatic hernia (CDH) is characterized by a defect in the muscle dividing the thoracic and abdominal cavities. This leads to herniation of the abdominal organs into the thorax and a disturbance of lung development. Two-thirds of cases are identified by prenatal ultrasound in the second trimester, which should prompt referral to a tertiary center for prognosis assessment and counseling by a multidisciplinary team familiar with this condition. In this review, we summarize evidence on prenatal diagnosis and postnatal management of CDH. There is a focus on information that should be provided to expecting parents during prenatal counseling.

摘要

先天性膈疝(CDH)的特征是分隔胸腔和腹腔的肌肉存在缺陷。这会导致腹腔器官疝入胸腔,并干扰肺部发育。三分之二的病例在孕中期通过产前超声得以确诊,确诊后应转诊至三级医疗中心,由熟悉该病症的多学科团队进行预后评估和咨询。在本综述中,我们总结了关于先天性膈疝产前诊断和产后管理的证据。重点关注产前咨询期间应向准父母提供的信息。

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