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合并多种并发症的预后预测——左侧先天性膈疝合并胎膜早破:1例病例报告

Predicting outcomes with compounding comorbidities - Left-sided congenital diaphragmatic hernia complicated by pre-viable premature rupture of the membranes: A case report.

作者信息

Landau Kate, Hardas George, Thomas Gordon, Smet Maria-Elisabeth

机构信息

Westmead Hospital, New South Wales, Australia.

出版信息

Case Rep Womens Health. 2025 Jan 3;45:e00680. doi: 10.1016/j.crwh.2025.e00680. eCollection 2025 Mar.

Abstract

This case report describes the difficulty in predicting the outcomes for a fetus affected with both left-sided congenital diaphragmatic hernia and second-trimester pre-viable rupture of membranes. Despite the reserved prognosis at the time of diagnosis, a favourable outcome was obtained. The case highlights the relevance of established prognosticators such as the observed/expected lung/head ratio and also underscores the importance of balanced counselling and providing parents with realistic expectations and appropriate support.

摘要

本病例报告描述了预测患有左侧先天性膈疝和孕中期胎膜早破胎儿结局的困难。尽管诊断时预后不佳,但仍获得了良好的结果。该病例突出了已确立的预后指标(如观察到的/预期的肺/头比例)的相关性,也强调了平衡咨询以及向父母提供现实期望和适当支持的重要性。

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