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[波氏先天性膈疝:114例临床回顾]

[Bochdalek's congenital diaphragmatic hernia: a clinical review of 114 cases].

作者信息

Houben J J, De Laet M H, Godart S, Bouckaert J, Govaerts M, Bouton J M, Collier F, Dereere R, Derom F, Vansande S

出版信息

Acta Chir Belg. 1984 Jan-Feb;84(1):7-12.

PMID:6711239
Abstract

During a retrospective multicentric study of the encountered congenital pathology of the diaphragmatic domes, we focused our special attention on the prevalence of the congenital Bochdalek hernia. 140 charts were statistically analysed. The seriousness of the medical and surgical emergency situation enticed the authors to examine the most important prognostic clinical features. The interval between diagnosis and surgical therapy should be as short as possible. Respiratory acidosis and resuscitation were a common denomination in all infants who succumbed in the post-operative period. The early occurrence (less than 6 hrs) of respiratory distress disclosed the seriousness of the associated pulmonary hypoplasia. Surgical technical problems were rare. This in contrast to the struggle against pulmonary arterial and capillary hypertension. Pulmonary vasodilator drugs have not convinced those who initiated their use.

摘要

在一项关于所遇到的膈穹窿先天性病变的回顾性多中心研究中,我们特别关注先天性博赫dalek疝的患病率。对140份病历进行了统计分析。医疗和外科紧急情况的严重性促使作者研究最重要的预后临床特征。诊断与手术治疗之间的间隔应尽可能短。呼吸性酸中毒和复苏是所有在术后死亡的婴儿的共同特征。呼吸窘迫的早期发生(少于6小时)揭示了相关肺发育不全的严重性。手术技术问题很少见。这与对抗肺动脉和毛细血管高压的斗争形成对比。肺血管扩张药物并没有让那些开始使用它们的人信服。

相似文献

1
[Bochdalek's congenital diaphragmatic hernia: a clinical review of 114 cases].[波氏先天性膈疝:114例临床回顾]
Acta Chir Belg. 1984 Jan-Feb;84(1):7-12.
2
[Congenital diaphragmatic hernia in older children].[大龄儿童先天性膈疝]
Acta Med Croatica. 2004;58(3):225-8.
3
Retrospective study of 111 cases of congenital diaphragmatic hernia treated with early high-frequency oscillatory ventilation and presurgical stabilization.对111例先天性膈疝患者采用早期高频振荡通气和术前稳定治疗的回顾性研究。
J Pediatr Surg. 2007 Sep;42(9):1526-32. doi: 10.1016/j.jpedsurg.2007.04.015.
4
[Bochdalek's hernia in adults].[成人博赫达勒克疝]
Gac Med Mex. 2003 Jan-Feb;139(1):69-72.
5
[Clinical and therapeutic considerations on bochdalek's congenital posterolateral diaphragmatic hernia (author's transl)].
Chir Ital. 1979 Aug;31(4):435-45.
6
[Bochdalek's diaphragmatic hernia in adults. Description of a clinical case].[成人博赫达勒克氏膈疝。1例临床病例描述]
Minerva Chir. 1999 Jun;54(6):443-5.
7
[Prognosis of diaphragmatic hernia through Bochdalek's foramen during the neonatal period (author's transl)].
J Chir (Paris). 1979 Nov;116(11):621-6.
8
Late presenting diaphragmatic hernia: clinical and diagnostic aspects.迟发性膈疝:临床与诊断方面
Med Sci Monit. 2007 May;13 Suppl 1:137-46.
9
Congenital hernias of the diaphragm in children.儿童先天性膈疝
J Ayub Med Coll Abbottabad. 2007 Apr-Jun;19(2):37-41.
10
Prevention of heart failure in the management of congenital diaphragmatic hernia by maintaining ductal patency. A case report.通过维持动脉导管通畅预防先天性膈疝管理中的心力衰竭。病例报告。
J Pediatr Surg. 2006 Apr;41(4):e9-11. doi: 10.1016/j.jpedsurg.2006.01.003.

引用本文的文献

1
Caecal perforation with faecal peritonitis - unusual presentation of Bochdalek hernia in an adult: a case report and review of literature.盲肠穿孔伴粪便性腹膜炎——成人型波希代尔疝的不常见表现:病例报告并文献复习。
World J Emerg Surg. 2009 May 6;4:16. doi: 10.1186/1749-7922-4-16.
2
Laparoscopic retroperitoneal repair of a right-sided Bochdalek hernia.腹腔镜下右侧博赫dalek疝的腹膜后修补术。
Hernia. 2007 Apr;11(2):185-8. doi: 10.1007/s10029-006-0162-7. Epub 2006 Nov 21.
3
Bochdalek's hernia in an adult with colon necrosis.一名患有结肠坏死的成人的博赫达勒克疝。
Hernia. 2005 Oct;9(3):284-7. doi: 10.1007/s10029-004-0302-x. Epub 2005 Oct 22.