Marshall A, Sumner E
J R Soc Med. 1982 Aug;75(8):607-12. doi: 10.1177/014107688207500807.
During 1979 and 1980, 62 babies with congenital diaphragmatic hernia were admitted to the Hospitals for Sick Children. All 62 babies underwent surgical closure of the anatomical defect. There were 44 survivors and 18 deaths, a survival rate of 71%. Both the number treated and the overall survival rate were greater than any series reported for a similar period. The number of admissions may reflect earlier diagnosis and improved resuscitation, with safer and more rapid transfer to our units. The improved survival must be mainly attributed to our experience over the past few years which has consolidated understanding and methods of management and led to a close cooperation between surgeon and anaesthetist both in immediate management and in postoperative care.
1979年至1980年间,62例先天性膈疝患儿被收治入儿童医院。所有62例患儿均接受了解剖缺陷的手术闭合治疗。有44例存活,18例死亡,存活率为71%。治疗的病例数和总体存活率均高于同期报道的任何系列病例。入院病例数的增加可能反映了诊断的提前以及复苏措施的改进,同时向我们科室的转运更安全、更迅速。存活率的提高主要归功于我们过去几年的经验,这些经验巩固了对该病的认识和管理方法,并促成了外科医生和麻醉师在即时处理和术后护理方面的密切合作。