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(病例见本刊2013年第5期彩页)初步诊断:尽管放射科报告为左侧气胸可能,但查房时仔细阅读胸片后发现,患儿左中上肺野透亮区内看不到左肺被压缩的边缘,左下肺似有软组织阴影,左膈下胃泡缺失而代之为扩张的肠管影。结合患儿的年龄、发病过程,考虑左侧膈疝不能排除。进一步检查:查房时医嘱为消化道碘油造影或胸部CT
(See the magazine’s case No. 5 of 2013 Coloring Pages) Preliminary diagnosis: Although the radiology report for the left pneumothorax may be, but check-up time carefully read the chest and found that the child can not see the left upper lung field The left lung is compressed on the edge of the lower left lung seems to have soft tissue shadow, the left sub-parietal gas bubble missing and replaced by the expansion of the bowel shadow. Combined with children’s age, the incidence of disease, consider the left diaphragmatic hernia can not rule out. Further examination: when the doctor orders for digestive tract lipiodol or chest CT