切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (04) : 414 -416. doi: 10.3877/cma.j.issn.1674-392X.2020.04.024

所属专题: 经典病例 经典病例 文献

病例报告

成人先天性巨大膈疝一例
范园1, 杨世炜2, 罗文钦2, 雷文章2, 伍兵3, 王永2,()   
  1. 1. 610041 成都,四川大学华西医院乳腺外科
    2. 610041 成都,四川大学华西医院胃肠外科
    3. 610041 成都,四川大学华西医院放射科
  • 收稿日期:2019-01-09 出版日期:2020-08-18
  • 通信作者: 王永

A case of adult congenital giant diaphragmatic hernia

Yuan Fan1, Shiwei Yang2, Wenqin Luo2   

  • Received:2019-01-09 Published:2020-08-18
引用本文:

范园, 杨世炜, 罗文钦, 雷文章, 伍兵, 王永. 成人先天性巨大膈疝一例[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(04): 414-416.

Yuan Fan, Shiwei Yang, Wenqin Luo. A case of adult congenital giant diaphragmatic hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(04): 414-416.

图1 术前CT检查示大量腹腔内容物疝入左侧胸腔,压迫左肺体积缩小
图2 食管、胃十二指肠造影
图3 开胸后见包括部分小肠、结肠、肠系膜、脾脏在内的大量腹腔内容物疝入左侧胸腔,部分结肠成角黏连;左肺受压(白色箭头所指为疝入胸腔的阑尾;黄色箭头所指为疝入胸腔的脾脏)
图5 术后第2天胸部X线片
图6 术后第5天复查的CT
[1]
Leeuwen L, Fitzgerald DA. Congenital diaphragmatic hernia[J]. J Paediatr Child Health, 2014, 50(9): 667-673.
[2]
Jain V, Agarwala S, Bhatnagar V. Recent advances in the management of congenital diaphragmatic hernia[J]. Indian J Pediatr, 2010, 77(6): 673-678.
[3]
Robinson PD, Fitzgerald DA. Congenital diaphragmatic hernia[J]. Paediatr Respir Rev, 2007, 8(4): 323-335.
[4]
孙超,石维平,束余芦, 等. 膈疝62例诊疗分析[J]. 实用医学杂志, 2015, 11(20): 3463-3464.
[5]
Pfannschmidt J, Hoffmann H, Dienemann H. Morgagni hernia in adults: results in 7 patients[J]. Scand J Surg, 2004, 93(1): 77-81.
[6]
Kiliç D, Nadir A, Döner E, et al. Transthoracic approach in surgical management of Morgagni hernia[J]. Eur J Cardiothorac Surg, 2001, 20(5): 1016-1019.
[7]
Yilmaz M, Isik B, Coban S, et al. Transabdominal approach in the surgical management of Morgagni hernia[J]. Surg Today, 2007, 37(1): 9-13.
[8]
Nakashima S, Watanabe A, Hashimoto M, et al. Advantages of video-assisted thoracoscopic surgery for adult congenital hernia with severe adhesion: report of two cases[J]. Ann Thorac Cardiovasc Surg, 2011, 17(2): 185-189.
[9]
Urita Y, Komuro H, Chen G, et al. Evaluation of diaphragmatic hernia repair using PLGA mesh-collagen sponge hybrid scaffold: an experimental study in a rat model[J]. Pediatr Surg Int, 2008, 24(9): 1041-1045.
No related articles found!
阅读次数
全文


摘要