透過您的圖書館登入
IP:3.21.231.245
  • 期刊
  • OpenAccess

成人型先天性後外側橫膈疝

Congenital Posterolateral Diaphragmatic Hernia in an Adult: A Case Report

摘要


先天性後外側橫膈疝較常見於嬰兒,少見於成人。成人型先天性後外側橫隔疝大部分發生在左側,且大部分無腹膜囊存在。它的臨床診斷很困難,症狀與其發生在嬰兒期者有很大差異,主要是腸胃道方面的症狀,而非呼吸道方面的症狀,甚至百分之25的病人沒有臨床症狀。此病於臨床診斷確定後應立即手術治療,以免併發症產生,造成高度死亡率。本報告中報導一位上述之罕見病例,是國內文獻報告中之第二例。

並列摘要


Congenital posterolateral diaphragmatic hernia is rarely reported in adults. The adult type is usually found on the left side, and in most instances there is no peritoneal sac. The symptoms for this lesion are referable to the G-I tract and not the respiratory system, although 25% of reported adult cases are symptom free. The best way to manage this disease is immediate operation after diagnosis. This article presents a rare case, which is the second reported case in Taiwan.

延伸閱讀


  • Chang, C. J., & Yeh, M. L. (2004). 罕見的先天性橫膈疝氣:病例報告. Formosan Journal of Surgery, 37(5), 234-237. https://doi.org/10.29833/FJS.200410.0007
  • Chen, P. C., Lee, C. C., & Yang, J. M. (2010). 成人的非傷創性橫隔膜疝氣. 台灣急診專科醫師期刊, 2(4), 132-137. https://doi.org/10.29749/JTCEP.201012.0004
  • 季大爲、李三剛、余昌遗(1981)。外傷性橫膈疝氣中華放射線醫學雜誌6(4),344-351。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198112-6-4-344-351-a
  • Chou, D. W., & Jao, Y. T. F. N. (2013). 橫膈膜裂孔疝氣. 中華民國急救加護醫學會雜誌, 24(1), 35-36. https://www.airitilibrary.com/Article/Detail?DocID=10232214-201303-201307010015-201307010015-35-36
  • Wang, H. P., Chen, Y. Y., Huang, Y. F., Ling, S. M., Hsieh, K. S., & Sung, P. K. (2003). Right-Sided Diaphragmatic Hernia Associated with Hydrops Fetalis: A Case Report. 中華民國兒童胸腔醫學會雜誌, 3(4), 111-116. https://doi.org/10.6322/JPRD.200302_3(4).0011