巨大膈疝临床少见,现就我院所见一例报告如下:患儿男,4个月,因低热10天,咳嗽,气促8天,入院。无外伤史。体检:发育正常,呼吸急促,口唇发绀。气管右移,左胸饱满,未闻呼吸音,右肺闻干湿性罗音,心率160次/分,未闻及杂音。肝肋下2cm,质软,实验室检查:红细胞2.7×10~(12)/L.血红蛋白80g/L,白细胞23.8×10~9/L,中性0.66。X线检查:胸片示左侧胸腔满布大小不等囊状透亮区,囊壁清楚,未见正常肺纹理和肺门结构,右上肺见片状模糊阴影,气管,纵隔右移,未见明确的左膈影像。腹部充气肠曲减少。24小时后吞钡后胸片示左胸腔囊状阴影大小、位置及形态明显改变, A huge diaphragmatic hernia clinical rare, now on our hospital to see a case report is as follows: Children male, 4 months, 10 days due to fever, cough, shortness of breath 8 days, admission. No history of trauma. Physical examination: normal development, shortness of breath, cyanosis of lips. Right tracheal shift, left chest full, no breath sounds, right lung wet and dry rales, heart rate 160 beats / min, no smell and noise. Liver ribs 2cm, soft, laboratory tests: red blood cells 2.7 × 10 ~ (12) / L. Hemoglobin 80g / L, leukocytes 23.8 × 10 ~ 9 / L, neutral 0.66. X-ray examination: the chest showed the left chest filled with sizes ranging from cystic translucent area, clear wall, no normal lung texture and hilar structure, see the right upper lung flaky shadow, trachea, mediastinal right shift, no Clear left diaphragm image. Abdominal inflamed intestinal reduced. 24 hours after swallow barium swallow chest showed cystic shadow size, location and shape significantly changed,