Fong L V, Pemberton P J
Anaesth Intensive Care. 1985 Nov;13(4):375-9. doi: 10.1177/0310057X8501300407.
Twenty-two cases of diaphragmatic hernia, presenting from 1978 to 1982, were reviewed. Sixteen patients presented before 24 hours of life, of whom nine survived (56%). Six were late presenters who all did well. Seven babies had ten documented episodes of persistent foetal circulation (PFC) occurring as early as three hours postoperatively, although three babies had episodes in their second week. Hyperventilation, with hand bagging, was successful in treating five out of six episodes of PFC (83%), without complication. Tolazoline caused improvement in two out of four episodes of PFC but was associated with significant complications. We recommend early and sometimes persistent use of hyperventilation by hand bagging as a means of managing PFC in diaphragmatic hernia.
回顾了1978年至1982年间出现的22例膈疝病例。16例患者在出生后24小时内出现症状，其中9例存活（56%）。6例为迟发性病例，均恢复良好。7例婴儿记录到10次持续性胎儿循环（PFC）发作，最早在术后3小时出现，不过有3例婴儿在第二周出现发作。通过用面罩进行过度通气，6次PFC发作中有5次治疗成功（83%），且无并发症。妥拉唑啉使4次PFC发作中的2次有所改善，但伴有严重并发症。我们建议早期且有时持续用面罩进行过度通气，作为膈疝中处理PFC的一种方法。
