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不能繁荣:先天性隔膜的延迟呈现
Jonathan Kong1, Henry White2, Sarah Eisen2
1Department of Paediatrics, University College London Hospitals NHS Foundation Trust, London, England, UK jonathan.kong@nhs.net.
BMJ case reports
|December 21, 2025
概括
先天性隔膜 (CDH) 可以在幼儿中微妙地呈现出缺铁性贫血和体重增加不良等症状. 早期诊断和手术修复导致显著的恢复和增长的改善.
科学领域:
- 儿科手术 儿科手术
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
背景情况:
- kongenital diaphragmatic hernia (CDH) 是一种出生缺陷,可以出现各种症状.
- 晚期呈现的CDH可能表现为非特异性症状,使幼儿的诊断复杂化.
- 无法解释的缺铁性贫血和的生长可能会出现症状.
研究的目的:
- 要突出晚出现的先天性隔膜 (CDH) 的诊断挑战.
- 为了强调CDH和严重缺铁性贫血之间的关联,在儿科病例中.
- 强调考虑CDH在有着无法解释的成长失败的幼儿中的重要性.
主要方法:
- 一个幼儿出现发烧,咳,吐和发育不良的病例报告.
- 诊断工作包括胸部放射和CT扫描.
- 治疗包括补充铁和手术修复腹膜.
主要成果:
- 一个右后先天性隔膜 (CDH) 被确定为患者症状的原因.
- 缺铁性贫血通过补充剂得到缓解.
- 手术修复导致体重增加和整体恢复显著改善.
结论:
- 晚期出现的CDH可能会模仿其他疾病,从而带来诊断挑战.
- 严重的缺铁性贫血和儿童的体重增加不足,需要考虑CDH.
- 及时诊断和手术干预对于CDH的良好结果至关重要.
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