查詢結果分析
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頁籤選單縮合
題名 | Diagnostic Pitfalls in Congenital Right Diaphragmatic Hernia=先天性右側橫膈疝氣之診斷陷阱 |
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作者 | 傅仁煇; 謝武勳; 楊鵬弘; 賴勁堯; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 41:5 民89.09-10 |
頁次 | 頁251-254+282 |
分類號 | 417.517 |
關鍵詞 | 新生兒; 嬰兒; 先天性橫膈疝氣; 新生兒持續性肺高壓; Newborn; Congenital diaphragmatic hernia; Persistent pulmonary hypertension; |
語文 | 英文(English) |
中文摘要 | 先天性橫膈疝氣是新生兒較少見的先天性疾病,先天性右側橫膈疝氣發生的機率更低。在臨床表現及放射線檢查方面,先天性左側橫膈疝氣已經相當爲人熟知,但在先天性右側橫膈疝氣卻有相當大的差異,這使得先天右側橫膈疝氣的正確診斷可能更加困難。由過雲十二年之病例回顧,本院一共收集五十例罹患先天性橫膈疝氣的新生兒患者,其中七例爲右側橫膈疝氣。我們探討其臨床表現與病程,發現其特點包括較低的産前診斷率、出生後放射線檢查多樣化的表現、與較缺乏獨特之臨床症狀,這些特點可能導致誤診與不當之醫療處置。本文針對先天性右側橫膈疝氣做一文獻回顧並檢討我們的病例,以期能強調此先天性疾病之特性,進而減少不當醫療處置之機會。總括而言,先天性右側橫膈疝氣爲具有多變化之臨床症狀與高死亡率之先天性疾病,審愼評估病嬰之臨症狀,週産期超音波與放射線檢查是正確診斷之重要原則。 |
英文摘要 | Congenital diaphragmatic hernia (CDH) is a rare disease of newborns. Right-sided diaphragmatic hernia is even rarer. The clinical and radiological presentations, which are well documented in left-sided diaphragmatic hernia, are variable in right-sided diaphragmatic hernia. This makes the diagnosis of right-sided diaphragmatic hernia more difficult. During a 12-year period, seven cases of right-sided diaphragmatic hernia were collected from a single institution. Their presentations and clinical courses have been reviewed. Low prenatal diagnostic rate, various roentgenogram expressions after birth, and absence of specific clinical presentations were noted. These expressions may become pitfalls in diagnosis and lead to inappropriate treatment. From our experience in these 7 cases and a brief literature review, we try to emphasize the characteristics and the diagnostic pitfalls of this disease. In conclusion, right-sided congenital diaphragmatic hernia has a variable clinical spectrum with high mortality and morbidity. Careful evaluation of the clinical presentations, ultrasonography and chest films is mandatory for precise diagnosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。