Gille P, Aubert D, Menget A, Thura J P
Chir Pediatr. 1979;20(5):359-62.
The authors relate the difficulties in management of bilateral congenital diaphragmatic eventration in a new-born. After the surgical correction of the left diaphragmatic eventration, an opacity at the base of the right hemithorax was studied by concomittant pulmonary and hepatic scintigraphy and by pneumoperitoneum. The right diaphragmatic eventration was secondarily treated. The baby was later reoperated twice : on the left side at the age of 7 months for a partial relaps of the left eventration, then at the age of 9 months for a malformative giant lobar emphysema of the right middle lobe, requiring lobectomy.
作者讲述了新生儿双侧先天性膈膨升的管理难点。在对左侧膈膨升进行手术矫正后,通过同步肺和肝脏闪烁扫描以及气腹对右半胸底部的不透明区进行了研究。对右侧膈膨升进行了二期治疗。该婴儿后来又接受了两次手术:7个月大时因左侧膈膨升部分复发对左侧进行手术,然后9个月大时因右中叶畸形性巨大肺叶气肿需要进行肺叶切除术而再次手术。