Journal of the Korean Pediatric Society 1984;27(5):439-446.
Published online May 31, 1984.
Clinical Study of Congenital Diaphragmatic Hernia.
Sang Ki Min, Shin Chul Jun, Yong Sub Kim, Yang Sook Choi, Chan Yung Kim
Department of Pediatrics, College of Medicine, Busan National University
선천성 횡격막탈장 21례에 대한 임상적 관찰
민상기, 전신철, 김용섭, 최양숙, 김찬영
부산대학교 의과대학 소아과학교실
Abstract
A clinical study was done in 21 cases of congenital diaphragmatic hernia admitted to Busan National University Hospital from Jan. 1973 to Dec. 1982. The following results were obtained: 1)Onset of symptoms were within 24 hours in 8 cases(38.1%) and in 3 cases symptoms were occurred after 6 months. About half of the patients were admitted within 1 week, male were affected more frequently than female by a 1.6 : 1 ratio. 2) Among 21 cases of congenital diaphragmatic hernia, there were 17 cases of Bochdalek hernia and 2 cases of diaphragmatic eventration, 2 cases of undermined. Colon and small intestine were most frequently herniated. 3) Symptoms on admission were dyspnea(90.5%), cyanosis, vomiting, in order of frequency and the most common signs were decreased breathing sound, mediastinal shifting, subcostal retraction. 4)Operation was done in 19 cases. Among them, 9 cases were abdominal approach, 6 cases were thoracic apporach, 4 cases were thoracoabdominal approach. The most common postoperative complications were pneumonia and pneumothorax. 5)The mortality rate were 23.8% and 4 of 8 cases admitted within 24 hours expired with severe herniation.
Key Words: Diaphragmatic Hernia, Congenital, Bochdalek


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