先天性膈疝的外科治疗(附15例报道)  

Surgical treatment of congenital diaphragma tichernia(15 cases report)

作　　者：邓志刚[1] 魏蜀亮[1] 梁敏[1] 谢俊豪[1] 付茂勇[1] 张维竹[2] 王武军[3] 

机构地区：[1]川北医学院附属医院胸心血管外科,四川南充637000 [2]川北医学院附属医院小儿外科,四川南充637000 [3]南方医科大学附属南方医院胸心血管外科,广东广州510515

出　　处：《中国现代医学杂志》2013年第25期94-96,共3页China Journal of Modern Medicine

摘　　要：目的总结15例先天性膈疝的外科治疗经验,以提高治愈率。方法回顾性总结分析15例先天性膈疝的诊断及治疗经过。结果全组15例患儿中,12例痊愈,3例死亡,其中2例术后突发张力性气胸,心搏骤停,复苏后脑死亡,1例术后肠麻痹死亡。结论及早明确诊断,纠正内环境紊乱,早期手术和术后呼吸道管理是治疗成功的关键。[ Objective ] To increase curative ratio of congenital diaphragmatic hernia, we summarized the experience of surgical treatment of 15 patients. [Method] The data of diagnosis and treatment of congenital diaphragmatic hernia in 15 patients were reviewed in the department of thoracic and cardiovascular surgery, the affiliated hospital of North Sichuan Medical College and the department of thoracic and cardiovascular surgery, affiliated the Nanfang Hospital of Nanfang mMedical University from Jun 2000 to Jun 2010. [Result] 12 patients were completely cured and 3 patients died. Two eases died of suddenly tension pneumothorax and one case died of enteroplegia. [ Conclusion ] Timely diagnosis, correct internal environment disturbance timely operation and the management of the respiratory tract are the key to get the successful treatment.

关 键 词：先天性膈疝 张力性气胸 肺动脉高压 肠麻痹 

分 类 号：R656.2[医药卫生—外科学]