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| 先天性膈疝的围手术期处理 | |
| 引用本文： | 葛午平,朱小春,肖尚杰,俞钢,林炎坤. 先天性膈疝的围手术期处理[J]. 岭南现代临床外科, 2005, 5(1): 56-58 |
| 作者姓名： | 葛午平 朱小春 肖尚杰 俞钢 林炎坤 |
| 作者单位： | 广东省妇幼保健院小儿外科,510010;广东省妇幼保健院小儿外科,510010;广东省妇幼保健院小儿外科,510010;广东省妇幼保健院小儿外科,510010;广东省妇幼保健院小儿外科,510010 |
| 摘 要： | 目的探讨新生儿先天性膈疝(NCDH)的围手术期处理。方法对我院自1996—2003年救治20例NCDH进行回顾性分析。患儿是由本院新生儿重症监护(NICU)中心转运，转运前予气管插管保持呼吸通畅。然后进行急诊手术，术后持续用呼吸机支持。结果20例NCDH中有2例死亡，1例术后放弃治疗，17例存活出院。经6个月以上随访，临床和X线胸部检查均提示肺发育良好，心脏、纵隔正常。结论早期诊断和院前处理，适时行膈疝修补术及术后呼吸机支持，是提高NCDH治愈率的有效措施。 |
| 关 键 词： | 新生儿 先天性膈疝(CDH) 诊断 手术 |
| 文章编号： | 1009-976X(2005)01-0056-03 |
| 修稿时间： | 2004-10-26 |
Perioperative management of congenital diaphragmatic hernia |
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| GE Wu-ping,ZHU Xiao-chun,XIAO Shang-jie,et al.. Perioperative management of congenital diaphragmatic hernia[J]. Lingnan Modern Clinics in Surgery, 2005, 5(1): 56-58 | |
| Authors: | GE Wu-ping ZHU Xiao-chun XIAO Shang-jie et al. |
| Affiliation: | GE Wu-ping,ZHU Xiao-chun,XIAO Shang-jie,et al.Department of pediatric Surgery,Guangdong Maternal and Child Heath Hospital,Guangzhou 510010 |
| Abstract: | Objective To study perioperative management of the newborns with congenital diaphragmatic hernia(NCDH). Methods 20 cases with NCDH were analyzed retrospectively.The patients were transferred from local hospital to our NICU.Tracheal intubation had been performed befere transfer,and than the emergency operation was performed.Respirator was continuously used after operation. Results 2 cases died.The treatment was abandened in 1 case after operation.17 cases were survival to discharge from hospital.With follow-up over 6 months,the lung,heart and mediastinum were normal by clinical and chest X ray examination.Conclusions For improving the cure rate of NCDH,the effective measures are early diagnosis,correct preadmission management,in time repair of diaphragmatic hernia and postoperative respirator support. |
| Keywords: | Newborn Congenital diaphragmatic hernia Diagnosis operation |
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