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先天性膈疝为新生儿最严重的疾病之一。据报道其发病率约为0.31％,在畸形死亡病例中占8～19％。1987年11月～1988年11月在我院出生的4206名新生儿中,经尸检或手术证实,诊断为先天性膈疝4例(0.95％),其中三例临床误诊,现报告如下: 一、病例摘要例1 女婴,孕_1产_1,孕40~(+3)周,剖腹产娩出,脐带绕颈紧一周,体重2.9kg,Apgar评分第一分钟6分,五分钟评分4分。曾予吸痰、气管插管、心外
Congenital diaphragmatic hernia is one of the most serious neonatal diseases. The incidence is reported to be about 0.31%, accounting for 8-19% of the cases of deformity deaths. Of the 4,206 newborns born in our hospital from November 1987 to November 1988, 4 cases (0.95%) were diagnosed as congenital diaphragmatic hernia by autopsy or surgery, of which 3 cases were clinically misdiagnosed and are reported as follows: Case summary 1 female baby, pregnancy _1 production _1, pregnancy 40 ~ (+3) weeks, caesarean section delivery, umbilical cord around the neck a week, weighing 2.9kg, Apgar score the first minute of 6 minutes, five minutes, 4 points. Suction had been tracheal intubation, extracardiac