Valente A, Brereton R J
Department of Surgery, Hospitals for Sick Children, Queen Elizabeth Hospital, London, England.
J Pediatr Surg. 1987 Sep;22(9):848-50. doi: 10.1016/s0022-3468(87)80652-8.
During a period of 4 1/2 years, 37 infants with congenital diaphragmatic hernia were treated. The overall survival rate was 68%. Survival depended more on cardiopulmonary function than the size of the diaphragmatic defect. There was little evidence that infants with agenesis of the diaphragm formed a special group with a poor prognosis, and four of the ten patients with unilateral agenesis survived. A Dacron prosthesis is recommended as a substitute for the missing diaphragm.
在4年半的时间里,对37例先天性膈疝婴儿进行了治疗。总体存活率为68%。存活率更多地取决于心肺功能而非膈肌缺损的大小。几乎没有证据表明膈肌发育不全的婴儿构成预后不良的特殊群体,10例单侧膈肌发育不全的患者中有4例存活。建议使用涤纶补片替代缺失的膈肌。