【摘要】 目的进一步提高迟发症状儿童先天性膈疝的诊断和治疗水平。方法回顾性分析我科收治的16例迟发症状儿童先天性膈疝的临床资料,并对其中14例误诊的原因进行分析。结果本组16中14例转入我科前误诊误治,其中误诊为急性胃肠炎7例,小儿肺炎3例,先天性膈膨出、先天性肺囊肿、急性脓气胸和气胸各1例,误诊率高达87.5%。14例经X线检查、钡剂或碘油造影、CT、超声检查确诊;15例治愈,1例死亡(死于呼吸衰竭)。结论迟发症状儿童先天性膈疝由于症状迟发且不典型,容易误诊误治。提高对迟发症状儿童先天性膈疝的认识,对疑似病例进行特殊性检查且追踪观察是可望确诊的。更多还原

【Abstract】 Objective To improve the diagnosis and therapy in children with late-presenting congenital diaphragmatic hernia(CDH).Methods Clinical data of 16 children with late-presenting CDH were collected,and misdiagnostic causes were analyzed in 14 cases.Results In 16 cases,15 cured and 1 died.Of 14 misdiagnosed children,the misdiagnostic causes were acute gastroenteritis(7),pneumonia(3),congenital diaphragmatic eventration(1),congenital pulmonary cyst(1),acute pyopneumothorax(1),and pneumothorax(1),and the definite diagnosis was made by chest x-ray,barium or iodinated oil examination,CT or ultrasonography.Conclusion Late-presenting CDH is easy to be misdiagnosed and mistreated due to lack of typical clinical manifestations.Making the definite diagnosis of late-presenting CDH depends on the clinical knowledge,special examination and follow-up.更多还原