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目的：探讨小婴儿先天性后外膈疝的手术方式，提高患儿的生存率。手术方法：３６例患儿中，除２ 例月龄大的右侧膈疝患儿经胸手术外，其余３４ 例均经腹手术。结果：３６ 例中术后死亡３ 例，３３ 例痊愈出院。随访１８ 例２ 个月～７ 年，胸部透视肺膨胀良好，术后早期体重增加，呼吸道感染明显减少。提示：膈疝治疗仍是小儿外科领域棘手的难题之一，提高诊断、急救技术和完善新生儿围手术期措施，是提高患儿生存率的根本保障。
Objective: To investigate the surgical treatment of congenital posterior diaphragmatic hernia in infants and improve the survival rate of children. Surgical methods: 36 cases of children, in addition to 2 cases of right-sided diaphragmatic hernia in children with transthoracic surgery, the remaining 34 cases were abdominal surgery. Results: 36 cases died of postoperative death in 3 cases and 33 cases were discharged. Follow-up 18 cases 2 months to 7 years, the chest fluoroscopy lung expansion, early postoperative weight gain, respiratory tract infection was significantly reduced. Tip: diaphragmatic hernia treatment is still one of the difficult problems in the field of pediatric surgery, improve diagnosis, first aid techniques and perinatal measures to improve the neonatal perinatal care is to improve the survival rate of children’s fundamental guarantee.