先天性膈疝修复术后肺发育不全的转归
Fate of hypoplastic lungs after repair of congenital diaphragmatic hernia.
作者信息
Chatrath R R, el-Shafie M, Jones R S
出版信息
Arch Dis Child. 1971 Oct;46(249):633-5. doi: 10.1136/adc.46.249.633.
Abstract
Ventilatory function was assessed in 14 children between 6 and 12 years of age who had been operated on in infancy for correction of a congenital diaphragmatic hernia. The FEV and FVC were significantly below normal (P [unk] 0·001), but the values for lung volume compartments were within normal limits. Low figures occurred particularly in those in whom the lungs had been noted at operation to be markedly hypoplastic. There is, therefore, a residual defect in ventilatory function in these patients despite a satisfactory repair of the hernia and apparently normal -ray appearances of the chest in most instances.
摘要
对14名6至12岁的儿童进行了通气功能评估，这些儿童在婴儿期接受了先天性膈疝矫正手术。第一秒用力呼气容积（FEV）和用力肺活量（FVC）显著低于正常水平（P＜0.001），但肺容积各部分的值在正常范围内。低数值尤其出现在那些在手术中发现肺部明显发育不全的患者中。因此，尽管疝修补术令人满意，且在大多数情况下胸部X线表现正常，但这些患者仍存在通气功能的残余缺陷。
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