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新生儿先天性膈疝在新生儿外科中是较少见的一种先天性畸形。其特点是出生后即有呼吸急促、紫绀,给氧或用复苏囊加压给氧不能改善。我院小儿外科1986年4月~1987年6月收治4例,现报告如下。例1:男,2天。生后24小时因呼吸急促、紫绀、进行性加重,伴溢奶、低热、拒奶以吸入综合症入院。入院后4小时进一步加重,呼吸62次,心率140次,律齐,无杂音。双肺呼吸音粗糙,左侧呼吸音低,叩诊左胸浊音,腹平软,肝右肋下2cm,肠鸣音弱,给予吸氧、纠酸、强心等治疗无效。X线检查:胸片所见,左侧胸部可见多个充气肠曲影。诊断:左侧先天性膈疝,纵隔
Neonatal congenital diaphragmatic hernia is a rare congenital malformation in neonatal surgery. It is characterized by shortness of breath after birth, cyanosis, oxygen or oxygen pressure with the recovery capsule can not be improved. Pediatric surgery in our hospital from April 1986 to June 1987 admitted to 4 cases, are as follows. Example 1: Male, 2 days. 24 hours after birth due to shortness of breath, cyanosis, progressive increase, with spilled milk, fever, refused to drink milk to be admitted to hospital syndrome. 4 hours after admission, further aggravating, breathing 62 times, heart rate 140 times, law Qi, no noise. Lung breath sounds rough, low left breath sounds, percussion left chest dullness, abdominal soft, right ribs 2cm, bowel sounds weak, given oxygen, correcting acid, cardiac and other treatment is invalid. X-ray examination: the chest seen, the left chest visible multiple inflatable intestinal music shadow. Diagnosis: Left congenital diaphragmatic hernia, mediastinum