He Qiuming,Xia Huimin.Several critical issues in the management of congenital diaphragmatic hernia from prenatal to postoperative period[J].Journal of Clinical Pediatric Surgery,2024,(12):1101-1105.[doi:10.3760/cma.j.cn101785-202410002-001]
先天性膈疝产前至手术后全过程管理中的几个焦点问题
- Title:
- Several critical issues in the management of congenital diaphragmatic hernia from prenatal to postoperative period
- Keywords:
- Hernias; Diaphragmatic; Congenital; Perioperative Period; Diagnosis; Surgical Procedures; Operative; Management; Advance
- 摘要:
- 先天性膈疝是常见的先天性结构畸形,可导致肺发育不良、肺动脉高压和心脏功能障碍,是引起新生儿死亡或长期并发症的常见原因。目前先天性膈疝的诊疗模式已经由单纯的外科手术治疗发展为产前-产时-围手术期-手术后全过程管理。本文就先天性膈疝产前产后全过程管理中的几个焦点问题,如产前评估与干预、分娩时管理、围手术期管理及体外膜肺氧合技术的应用、手术时机与手术方式的选择、手术后及出院后管理等,结合当前国内外研究现状进行评述。
- Abstract:
- As a common congenital structural anomaly,congenital diaphragmatic hernia (CDH) may cause pulmonary hypoplasia,pulmonary hypertension and cardiac dysfunction.It has been one common cause of neonatal mortality or long-term complications.Current management model of CDH is evolving from merely surgery to prenatal-intrapartum-perioperative-postoperative integrated mode.Based upon the latest global researches,this review summarized the management of CDH,including prenatal assessment & intervention,management of delivery,perioperative management and application of extracorporeal membrane oxygenation,selection of surgical timing and approaches,postoperative care and post-discharge management.
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备注/Memo
收稿日期:2024-10-3。
基金项目:广东省自然科学基金项目(2020A1515010296)
通讯作者:夏慧敏,Email:xia-huimin@foxmail.com