本文对1970～1981年收治41例先天性胸腹裂孔疝中误诊的13例作了临床分析,并在讨论中就纠正误诊的关键、误诊的主要原因、本症可能出现的临床表现、决定膈疝时呼吸困难和青紫严重度的因索和鉴别诊断等方面根据作者临床体会作了叙述。本文提示儿内科医师应尽早对病孩作出诊断,及时进行手术修补。 This article from 1970 to 1981, 41 cases of congenital thoracoabdominal hernia were misdiagnosed as 13 cases of clinical analysis, and in the discussion to correct the key to misdiagnosis, the main reason for misdiagnosis, the disease may appear clinical manifestations, decided to diaphragmatic hernia When dyspnea and cyanosis severity due to cable and differential diagnosis and other aspects of the clinical experience described by the author. This article suggests that pediatric physicians should make a diagnosis of the sick as soon as possible, timely surgical repair.