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目的:以先天性膈疝的临床实际治疗为基础来充分了解此病并且创新治疗方法。方法:集中分析22位患有先天性膈疝的患儿的临床资料。结果:在22例病例中有13例重症,剩余9例症状较轻。在患儿住院之后,禁止进食任何食物来减轻肠道系统负担,对于症状较重者,应及时插入呼吸管进行人工通气;症状较轻者在24小时内紧急进行手术处理。13例重症患儿的病情得到稳定之后,安排5例患儿在24小时内进行急诊经腹膈疝修补术,剩余的患儿将手术规格降低为亚急诊。在所有的22例患儿中,经手术后死亡的有1例,放弃治疗出院有2例,剩余的均治愈出院,术后随访7个月至2年,恢复良好。结论:在手术之前使用相关手段改善心肺功能,可以延后手术时间,使患有先天性膈疝的新生儿生存几率更大。
Objective: Based on the actual clinical treatment of congenital diaphragmatic hernia to fully understand the disease and innovative treatment. Methods: The clinical data of 22 children with congenital diaphragmatic hernia were collected. Results: Of the 22 cases, 13 were severe and the remaining 9 were mild. After hospitalization, the ban on eating any food to reduce the burden on the intestinal system, for those with severe symptoms, should be promptly inserted into the breathing tube for artificial ventilation; less severe symptoms within 24 hours of emergency surgical treatment. After the condition of 13 severely ill children was stabilized, 5 children were scheduled for an emergency transabdominal hernia repair within 24 hours, and the remaining children were given surgical specifications reduced to sub-emergency. Among all 22 patients, 1 died of surgery, 2 gave up treatment and discharged, and the rest were cured and discharged. The patients were followed up for 7 months to 2 years and recovered well. Conclusion: The use of related measures to improve cardiopulmonary function before surgery can delay the operation time and make the newborn with congenital diaphragmatic hernia have a greater chance of survival.