论文部分内容阅读
患儿,女,2个月。足月顺产。出生后哭闹时出现紫绀,遂因肺炎收入院。入院X线胸片检查发现右侧胸腔容积减小,肝脏突入至胸腔,突入至胸腔的肝脏外侧及其下为结肠组织。拟诊为:右侧膈肌膨升,膈肌缺如不排除。查体:发育尚好,右胸饱满,呼吸动度减小,右侧肝浊音界上升到第2前肋间,右侧肺呼吸音低,右胸部可闻及肠鸣音;右侧胸腔查无异常,其它各系统检查亦未见异常。入院后在全麻下右侧开胸,经第6肋床入右侧胸腔,见肝脏突入到右侧胸腔,其上覆盖有菲薄的膈肌。另于膈肌的腰椎旁可见一大小为5cm×4cm的为腹
Children, women, 2 months. Full-term follow-up. Cyanosis occurs after crying, then due to pneumonia income hospital. Admission X-ray examination found that the right side of the chest cavity volume decreased, the liver broke into the chest cavity, protruding into the lateral pleural cavity of the liver and the next for the colon tissue. To be diagnosed as: right diaphragm swelling, the absence of the diaphragm does not rule out. Physical examination: development is still good, the right chest fullness, reduced respiratory motion, the right liver dullness bound to the first two intercostals, the right lung breath sounds low, right chest can be heard and bowel sounds; Abnormal, other system checks also showed no abnormalities. After admission to the right thoracotomy under general anesthesia, the sixth rib into the right chest by the ribs, see the liver broke into the right chest, which is covered with meager diaphragm. The other side of the diaphragm in the lumbar spine seen a size of 5cm × 4cm for the abdomen