小儿迟发型膈疝的临床探讨
摘要
目的探讨小儿迟发型膈疝的临床表现,讨论影响手术选择期限的因素。方法选取2012年1月~2014年1月在我院收治的小儿迟发型膈疝患者50例的临床资料进行分析。结果通过消化系统症状就诊的患儿13例,占26%。通过呼吸道系统症状就诊的患儿27例,占54%。胸片确诊25例,胸部CT确诊19例。与进行急诊手术有关的影响因素有合并疾病、临床症状、术前误诊。结论小儿迟发型膈疝患儿的临床表现多样化,临床上需完善检查,全面了解病情,尽早诊断。
Objective Children with delayed diaphragmatic hernia is refers to thepost neonatal Bochdalek hernia disease incidence of [1],often accompanied by cough, vomiting,shortness of breath,abdominal pain and other symptoms,Methods sometimes it is easily misdiagnosed as pneumothorax disease,enteritis,pneumonia,thus delayed diaphragmatic hernia treatment,and even endanger the life.Results The main purpose of this studyis to investigate the clinical manifestations of children withdelayed diaphragmatic hernia,discusses the influencefactors to choose period operation.Conlusion Clinical data from 2012January~2013 year in January inour hospital 50 cases of patients with delayed diaphragmatic hernia in children were analyzed, the analysis results are as follows.
Objective Children with delayed diaphragmatic hernia is refers to thepost neonatal Bochdalek hernia disease incidence of [1],often accompanied by cough, vomiting,shortness of breath,abdominal pain and other symptoms,Methods sometimes it is easily misdiagnosed as pneumothorax disease,enteritis,pneumonia,thus delayed diaphragmatic hernia treatment,and even endanger the life.Results The main purpose of this studyis to investigate the clinical manifestations of children withdelayed diaphragmatic hernia,discusses the influencefactors to choose period operation.Conlusion Clinical data from 2012January~2013 year in January inour hospital 50 cases of patients with delayed diaphragmatic hernia in children were analyzed, the analysis results are as follows.
引文
[1]王璐,张晋楚,孙柏平.小儿迟发型膈疝的临床分析[J].中国妇幼健康研究,2013,(5):692-694.
[2]路立军,段勇,王宁,等.迟发型膈疝的诊断与治疗(附12例报告)[J].中国临床医生,2012,40(4):40-41.
[3]汪平,陈亮,郑崇乐,等.迟发型创伤性膈疝18例外科诊断及治疗[J].贵州医药,2013,37(7):602-603.
[4]严华,潘铁成,汤应雄,等.迟发型创伤性膈疝12例[J].中华创伤杂志,2001,17(10):625-626.
[2]路立军,段勇,王宁,等.迟发型膈疝的诊断与治疗(附12例报告)[J].中国临床医生,2012,40(4):40-41.
[3]汪平,陈亮,郑崇乐,等.迟发型创伤性膈疝18例外科诊断及治疗[J].贵州医药,2013,37(7):602-603.
[4]严华,潘铁成,汤应雄,等.迟发型创伤性膈疝12例[J].中华创伤杂志,2001,17(10):625-626.