Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
251 0 |
SM ISO690:2012 SOFRONI, Veronica, BERNIC, Jana, HAIDARLÎ, Doina. Congenital diaphragmatic hernia in children. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 452. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 452-452 | ||||||
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Background. Congenital diaphragmatic hernia is a malformation characterized by defective development of the diaphragm in the intrauterine period, manifested by herniation in the thoracic cavity of the organs of the abdominal cavity, associating multiple malformations, affecting 1: 4000 live births. Objective of the study. To present the results of surgical treatment in children with congenital diaphragmatic hernia. Material and Methods. The present study represents the clinical observations of a group of 33 patients with the diagnosis of congenital diaphragmatic hernia resolved medically and surgically for the period 01.01.2018-01.06.2022. Anamnestic, clinical and paraclinical data were taken from the medical record. The literature on similar cases has been studied. Results. Within IMC, 33 children with diaphragmatic hernia were hospitalized, out of which 11 girls and 22 boys. The origin of the children is from rural areas 16, and the urban ones - 17. In the surgery department, newborns were hospitalized in 18 newborns, in septic and general surgery, 3 children each, in the premature department - 4, in other wards - 4. In the first 24 hours, 8 newborns died associating malformations incompatible with life. After a preoperative preparation, laparotomy surgery was performed - 17 cases and 2 thoracotomies. Postoperatively, 6 children died due to pulmonary hemorrhage and cardio-circulatory hypertension. Thirteen children were discharged in a satisfactory condition, constituting 68.4% of those operated on. Conclusion. The results of the surgical treatment of congenital diaphragmatic hernia depend on the associated malformations, the surgical technique used, the postoperative period and the provision of ventilation, homeostasis. A multidisciplinary collaboration improves the survival rate. |
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Cuvinte-cheie Congenital diaphragmatic hernia, new-born, hernie diafragmatică congenitală, nou-născuți |
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