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Congenital Diaphragmatic Hernia: Analysis on Factors Affecting Survival

先天性橫隔膜疝氣―影響存活因素之分析

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摘要


Thirty cases of early-onset congenital diaphragmatic hernia were admitted to National Taiwan University Hospital from 1976 to 1990. The mortality rate has increased in recent years, with an overall mortalty rate of 26.7%. Low PH value of initial blood gas, early onset of symptoms at birth and total absence of hemidiaphragm were the three most poor prognostic factors (P<0.01). Preoperative stabilization of those patients with an initial Pit value less than 7.2 may be helpful (P<0.04).

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並列摘要


Thirty cases of early-onset congenital diaphragmatic hernia were admitted to National Taiwan University Hospital from 1976 to 1990. The mortality rate has increased in recent years, with an overall mortalty rate of 26.7%. Low PH value of initial blood gas, early onset of symptoms at birth and total absence of hemidiaphragm were the three most poor prognostic factors (P<0.01). Preoperative stabilization of those patients with an initial Pit value less than 7.2 may be helpful (P<0.04).

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