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目的总结先天性膈疝的临床特点,以提高先天性膈疝患儿的救治成功率。方法对2011年01月-2014年12月收治的18例新生儿先天性膈疝的临床资料进行回顾性分析。结果先天性膈疝以呼吸急促及发绀为主要表现。2例获得产前诊断。18例中,手术14例,术后死亡1例,13例恢复良好;未手术4例全部死亡。结论提高产前诊断水平、掌握先天性消化道畸形的特点、术前积极改善肺功能,待呼吸循环状况稳定后行延期手术治疗,可以提高患儿存活率,改善预后。
Objective To summarize the clinical features of congenital diaphragmatic hernia in order to improve the success rate of children with congenital diaphragmatic hernia. Methods The clinical data of 18 neonates with congenital diaphragmatic hernia admitted from January 2011 to December 2014 were analyzed retrospectively. Results Congenital diaphragmatic hernia with shortness of breath and cyanosis as the main performance. 2 cases of prenatal diagnosis. Among the 18 cases, 14 cases were operated, 1 case died after operation, 13 cases recovered well; 4 cases died without surgery. Conclusion To improve the prenatal diagnosis and to master the characteristics of congenital digestive tract malformations, the lung function should be improved preoperatively. When the respiratory cycle is stable, the postoperative delayed surgical treatment can improve the survival rate and improve the prognosis of children.