摘要
目的探讨新生儿先天性膈疝（CDH）的早期诊断及外科治疗措施。方法回顾性分析31例CDH的临床资料，分析总结其诊断及手术治疗转归情况。结果本组27例治愈出院，治愈率87．1％（27／31），住院期间2例死亡，2例术后放弃治疗自动出院后死亡，27例存活病例无严重并发症。结论新生儿CDH常合并肺发育不良，术前积极稳定心肺功能，待呼吸循环状态稳定后延期手术可提高患儿的存活率。早期诊断、术前综合诊治、手术方式的正确选择是提高存活率的关键。
Objective To evaluate surgical diagnosis and treatment for neonatal congenital diaphragmatic hernia （CDH）. Methods A retrospective analysis of the clinical data of 31 cases of CDH was conducted. Results Twenty- seven eases （87.1% ） were cured and discharged, two eases died in hospital after treatment, and two eases died without any treatment owing to parents refusal of treatment. The 27 patients had no serious post-surgery complications. Conclu- sion Newborns with CDH often have pulmonary hypoplasia. Early diagnosis, preoperative diagnosis and treatment are critical for improving survival.
出处
《中国生育健康杂志》
2012年第1期6-8,共3页
Chinese Journal of Reproductive Health
