211268 Clinical analysis of congenital diaphragmatic hernia in newborn infants:report of 33 cases

/Ying Yanfen(应燕芬，Dept Neonatol，2nd Affil Hosp Wenzhou Col，Wenzhou 325027)…∥Chin J Thorac Cardiovasc Surg.-2011，27(3).-173～175

ObjectiveTo review the clinical experience of diagnosis and treatment of the congenital diaphragmatic hernia in newborn infants.MethodsThirty-three neonates were diagnosed having congenital diaphragmatic hernia in our hospital from Jan.1，2004 to Sept.30，2009.The clinical data was retrospectively reviewed.Results21 cases were treated surgically and 17 survived，while 4 cases died.The main cause of death was congenital pulmonary dysplasia.Another 12 cases refused to accept surgical treatment and they all died，one died shortly after he was born.Four cases who had been diagnosed by prenatal ultrasonography were survived.ConclusionThe mortality of congenital diaphragmatic hernia in neonates was still high.Prenatal diagnosis of the congenital diaphragmatic hernia is very important and the cooperation between the obstetrics，neonatology and cardiothoracic surgery will improve the survival rate of congenital diaphragmatic hernia in newborn infants.14 refs.