成人先天性膈肌膨出症  

Congenital eventration of diaphragm in adults

作　　者：戈烽[1] 肖蜀梅 廖泉[1] 于洪泉[1] 张志庸[1] 李泽坚[1] 孙成孚[1] 徐乐天[1] 

机构地区：[1]中国医学科学院,北京市医学情况研究所

出　　处：《北京医学》1995年第6期329-331,共3页Beijing Medical Journal

摘　　要：１９７０～１９８４年手术治疗１２例成人先天性膈肌膨出症，平均年龄４４岁（２７～６１岁），其中完全型８例，局限型４例。临床表现以胃肠道不全梗阻为主，部分病人可长期无症状。胸透是诊断的最佳及最简便的方法，肺功能检查结果可反映膈肌功能。手术治疗膈肌膨出症近期疗效尚可，但远期疗效不佳。认为手术适应证为因该病所致呼吸窘迫、且药物治疗无效者。The study reviews 12 adults with congenital eventration of the diaphragm who had undergone the plication operation from 1970～1984.The mean age was 44 years old (range from 27 years to 61 years old). There were 8 cases with complete and 4 cases with partial eventration. Incompete intestinal obstruction was the main clinical symptoms and some patients might be asymptomatic for a long-time. Fluoroscopy is the best and the most convenient diagnostic method. The respiratory tests can show the diaphragmatic function. Although the effect of the operation is satisfactory for a short-term after operation, it is still poor in long-term. We recommend that indication of operation is presence of distress follow up due to it and unresponsive to medical therapy, respectively.

关 键 词：膈肌膨出症 先天性 外科手术 

分 类 号：R655.605[医药卫生—外科学]