Preoperative stabilisation in congenital diaphragmatic hernia.

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Preoperative stabilisation in congenital diaphragmatic hernia.

Critically ill infants with congenital diaphragmatic hernia were treated by either early surgery or delayed surgery after preoperative stabilisation. The preoperative stabilisation was aimed at correcting acidosis and hypoxia, thereby reducing the severity of persistent fetal circulation. Survival improved from 12.5% after early surgery to 52.9% after delayed surgery.

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Congenital diaphragmatic hernia.

Congenital diaphragmatic hernia (CDH) can be one of the most clinically challenging neonatal conditions. It occurs in 1 in 2-5000 live births in the UK with no predominance between the sexes. Herniation of abdominal contents into the thorax occurs, however it is the concomitant pulmonary hypoplasia and pulmonary hypertension that can be fatal. CDH was first described as an incidental finding at...

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Congenital Diaphragmatic Hernia

Congenital Diaphragmatic Hernia (CDH) is defined by the presence of an orifice in the diaphragm, more often left and posterolateral that permits the herniation of abdominal contents into the thorax. The lungs are hypoplastic and have abnormal vessels that cause respiratory insufficiency and persistent pulmonary hypertension with high mortality. About one third of cases have cardiovascular malfo...

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Departments of Pediatrics and Pediatric Surgery, National Taiwan University Hospital, National Taiwan University Medical College, Taipei; and Department of Pediatrics, Cardinal Tien Hospital, Taipei Hsien. Received: 12 July 2000. Revised: 21 August 2000. Accepted: 21 December 2000. Reprint requests and correspondence to: Dr. Kuo-Inn Tsou Yau, Department of Pediatrics, Cardinal Tien Hospital, 36...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1986

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.61.12.1226