Gumerov A A, Popov A A, Bairov V G, Liubimenko V A, Muslimova M S, Golubev V A
Vestn Khir Im I I Grek. 1987 Jun;138(6):79-82.
The article generalizes an experience with the treatment of 91 newborns with diaphragmatic hernias for the period from 1955 to 1985. The diagnostics has improved and greater amount of newborns were admitted to the clinic within the first day after birth. The frequency and character of postoperative complications were analyzed as well as causes of their appearance and effective measures for their prevention and structure of lethality. The tactics of resuscitation both before and after operation has been changed: the artificial ventilation of the lungs was performed without a positive pressure at the end of the expiration with the use of Tubarin and infusion of Dopamine. Lethality was 2 times reduced.
本文总结了1955年至1985年期间对91例新生儿膈疝的治疗经验。诊断方法有所改进，更多的新生儿在出生后第一天内被收治入院。分析了术后并发症的发生率和特点、其出现的原因以及预防的有效措施和致死率结构。手术前后的复苏策略发生了变化：使用图巴因（Tubarin）在呼气末进行无正压的肺人工通气并输注多巴胺。致死率降低了两倍。
