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两例与呼吸系统状况稳定的右先天性隔膜:两例病例报告
Seiichiro Inoue1, Yuki Muta1, Yuta Takeuchi1
1Department of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan.
International journal of surgery case reports
|December 1, 2023
概括
右先天性隔膜缺陷 (CDH) 的预后可能取决于缺陷的大小,而不是横向性. 两例右侧CDH病例与肝病例显示呼吸系统状况稳定,结果良好.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 医学案例报告 病例报告
背景情况:
- 右先天性隔膜缺陷 (CDH) 通常与预后不佳有关.
- 缺陷横向性在预测右CDH结果中的作用受到辩论.
- 这份报告详细介绍了两例右侧CDH病例,其中呼吸道状况出乎意料地稳定.
研究的目的:
- 为了研究缺陷大小与侧向在右先天性隔膜缺陷的预后意义.
- 介绍两个右CDH的病例,具有有利的临床过程.
主要方法:
- 对两例产前诊断的右先天性隔膜缺陷病例的审查.
- 管理策略的描述,包括高频振荡式通风和氧化治疗.
- 手术干预和术后护理协议.
主要成果:
- 这两种病例都涉及到肝脏进入胸腔.
- 患者经历了相对稳定的呼吸条件和良好的临床结果.
- 术后分别在第41天和第49天出院.
结论:
- 隔膜缺陷的大小,而不是其横向性,可能是右CDH中更重要的预后指标.
- 囊存在或缺陷大小会影响的腹部器官的体积.
关键词:
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