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CONGENITAL DIAPHRAGMATIC HERNIA IN NEWBORNS 新生儿先天性膈疝
Pub Date : 2023-06-01 DOI: 10.35805/bsk2023ii007
K.S. Ashirbay, K.E. Khayirov, E.B. Aitbayeva, G.T. Kaukenbayeva, N.A. Kurbanbekov, G.B. Altynbayeva, T.O. Berdaly, N.R. Shilanbaev
Congenital diaphragmatic hernia is a congenital developmental defect that can be diagnosed during the prenatal period. Diaphragmatic hernias are common diseases and, although they can often be incidental, they must be recognized as a congenital defect of the diaphragm that is dangerous for the life of the newborn. Congenital diaphragmatic hernias are characterized by traumatic tears of the herniated diaphragm (Bochdalek, Morgagni). This condition is strictly treated by surgery. In such cases, children with this disease require diagnosis and preoperative preparation according to the protocol of the Ministry of Health of the Republic of Kazakhstan for at least two days. Surgical treatment is performed after hemodynamic stabilization. During the pre- and postoperative periods, all children require active intensive therapy. This article describes the key aspects of surgical treatment. Despite the fact that congenital diaphragmatic hernia is a severe congenital defect, sometimes accompanied by the pathology of several systems or organs, the stabilization and further surgical treatment of such patients have made significant progress. Modern foreign surgery has shifted towards endoscopic surgery. The data from foreign articles and studies in the field of congenital diaphragmatic hernia allow us to expand the range of possible methods for prenatal diagnosis and treatment.
先天性膈疝是一种先天性发育缺陷,可以在产前诊断。膈疝是一种常见的疾病,尽管它们通常是偶然发生的,但必须将其视为膈肌的先天性缺陷,对新生儿的生命有危险。先天性膈疝的特点是外伤性膈疝撕裂(Bochdalek, Morgagni)。这种情况严格通过手术治疗。在这种情况下,患有这种疾病的儿童需要根据哈萨克斯坦共和国卫生部的议定书进行诊断和术前准备至少两天。血流动力学稳定后进行手术治疗。在术前和术后,所有患儿都需要积极的强化治疗。本文介绍了手术治疗的关键方面。尽管先天性膈疝是一种严重的先天性缺陷,有时会伴有多个系统或器官的病变,但这类患者的稳定和进一步的手术治疗已经取得了重大进展。现代国外外科手术已转向内窥镜手术。国外关于先天性膈疝的文章和研究资料使我们能够扩大产前诊断和治疗的可能方法范围。
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