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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Prenatal Diagnosis and Management of a Rare Central Tendon Defect Type of Congenital Diaphragmatic Hernia with a Massive Pericardial Effusion
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Prenatal Diagnosis and Management of a Rare Central Tendon Defect Type of Congenital Diaphragmatic Hernia with a Massive Pericardial Effusion

机译：一种罕见的中央肌腱缺损型先天性膈疝的产前诊断和管理，具有巨大的心包积液

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The central tendon defect type of congenital diaphragmatic hernia (CDH) is extremely rare and usually associated with a significant pericardial effusion. Prenatal diagnostic ultrasound features of this quite rare entity remain often overlooked or misdiagnosed. There is a dearth of literature about the role of prenatal intervention, often through an elective pericardiocentesis, for the prevention of lung hypoplasia and to decrease the overall neonatal morbidity and mortality. To the best of our knowledge, till date, there is only one case that was subjected to a prenatal intervention. Here, we present a second case of a central tendon defect type of CDH with a large pericardial effusion that was subjected to a prenatal transthoracic pericardiocentesis. Although smooth intubation and ventilation were performed immediately after birth, the infant suffered for several months from respiratory instability. Laparoscopic central tendon hernia repair was performed, and neonate was discharged home at seven months of age. Although prenatal pericardiocentesis may facilitate smoother postnatal intubation and ventilation, its broader effect on respiratory function is uncertain and still remains elusive.
机译：中央肌腱缺损类型的先天性膈疝（CDH）非常罕见，通常与显着的心包积液相关。这种相当罕见的实体的产前诊断超声特征仍然被忽视或误诊。关于产前干预的作用，常常通过选择性心包，用于预防肺发育性并降低整体新生儿发病率和死亡率的作用。据我们所知，到目前为止，只有一个案例遭受产前干预。这里，我们介绍了第二种情况的中央肌腱缺损类型的CDH，具有大的心包积液，经受产前的经历性心动物穿刺术。虽然在出生后立即进行平滑的插管和通风，但婴儿患有呼吸不稳定的几个月。腹腔镜中央肌腱疝修复已经进行，新生儿在七个月的七个月后排出回家。虽然产前心膜膜穿刺术可以促进流感的后产卵和通风，但其对呼吸功能的更广泛影响是不确定的，仍然难以难以捉摸。

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