先天性隔疝,儿科比较少见,常与其它呼吸系统疾病混淆,病情重,病死率高,及早诊断与手术治疗是关键,笔者在西京医院进修期间收治一例报道如下:病例摘要。患儿男,4个月,主因咳喘3月余,加重伴呼吸困难2天急诊入院。患儿系一胎一产,足月顺产。生后20天发现患儿轻微气喘,咳嗽。每遇咳剧,哭闹后口唇发绀,曾按“肺炎”治疗3个月,无效。入院2天前咳喘加剧,呼吸急促,颜面双指(趾)紫绀,哭闹烦躁。遂在当地医院拍片诊断为“右肺化脓性肺 Congenital septal hernia, pediatric relatively rare, often confused with other respiratory diseases, severe illness, high mortality, early diagnosis and surgical treatment is the key, the author during the Xijing Hospital admitted to a case reported as follows: Case Summary. Children with male, 4 months, mainly due to cough and asthma more than 3 months, increased with difficulty breathing 2 days emergency admission. Children born in a fetus, full-term birth. 20 days after birth found that children with mild asthma, cough. Every case of cough drama, lips cyanosis after crying, once according to ”pneumonia“ treatment 3 months, invalid. 2 days before admission cough and asthma exacerbations, shortness of breath, facial acne (toe) cyanosis, crying irritability. Then in the local hospital film diagnosis as ”right lung purulent lung