对先天性膈疝误诊1例分析如下。1病历摘要男,5月龄。因呕吐、咳嗽4d入院。患儿入院前4d无明显诱因出现呕吐,呕吐物为奶液,一日吐4～5次不等,继而出现阵发性咳嗽,喉中痰鸣,无发热、腹泻、抽搐等不适。在当地门诊予输液治疗2d,效果欠佳。患儿为足月顺产,生后一般状态尚可,偶有吐奶,多次患上呼吸道感染,近月余添加辅食。查体:T 37.2℃,R 40次/min,神志 A case of congenital diaphragmatic hernia misdiagnosis as follows. 1 medical records male, 5 months old. Due to vomiting, cough 4d admission. 4d before admission, no obvious incentive for vomiting, vomit for the milk, spit 4 to 5 times a day, followed by paroxysmal cough, throat sputum, no fever, diarrhea, convulsions and other discomfort. Infusion therapy in the local clinic 2d, the effect is not good. Children with full-term follow-up, general condition after birth, spit milk occasionally, repeatedly suffering from respiratory tract infection, more than a month I added food supplement. Physical examination: T 37.2 ℃, R 40 times / min, consciousness