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[先天性膈膨升]

[Congenital diaphragmatic eventration].

作者信息

Döhler R, Heinemann G

出版信息

Fortschr Med. 1979 Oct 25;97(40):1769-71.

PMID:540896
Abstract

The nomenclature of congenital defects of the diaphragm is not unequivocal. Congenital eventration means the incomplete ingrowth of muscle fibers between the pleural and peritoneal sheet of the diaphragm during the embryonal period. The differential diagnosis of eventration and hernia may be very difficult. The adequate surgical treatment differs. As concomitant congenital defects of the ipsilateral lung often occur, congenital eventration should be operated by transthoracic approach. The prognosis of symptomatic eventration is poor in newborns and good in adults. This is illustrated by two own cases. The one deals with a newborn who had a large congenital eventration of the left diaphragm; the other has been reported detailed elsewhere.

摘要

膈肌先天性缺陷的命名并不明确。先天性膈膨升是指在胚胎期膈肌的胸膜和腹膜层之间肌肉纤维向内生长不完全。膈膨升和疝的鉴别诊断可能非常困难。适当的手术治疗方法也不同。由于同侧肺常伴有先天性缺陷,先天性膈膨升应采用经胸入路进行手术。有症状的膈膨升在新生儿中的预后较差,而在成人中预后良好。本文通过两个自身病例进行说明。其中一例是一名患有左侧膈肌巨大先天性膈膨升的新生儿;另一例已在其他地方详细报道。

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