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呼吸困難で発症 した遅発性ボクダレックヘルニア

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Title: 呼吸困難で発症 した遅発性ボクダレックヘルニア
Other Titles: Late-onset Bochdalek's Hernia Associated with Severe Dyspnea
Authors: 早川, 峰司1 Browse this author →KAKEN DB
丸藤, 哲2 Browse this author →KAKEN DB
森本, 裕二3 Browse this author →KAKEN DB
武山, 佳洋4 Browse this author
中村, 宏治5 Browse this author
古根, 高6 Browse this author
松原, 泉7 Browse this author
Authors(alt): Hayakawa, Mineji1
Gando, Satoshi2
Morimoto, Yuji3
Takeyama, Yoshihiro4
Nakamura, Kouji5
Furune, Takashi6
Matsubara, Izumi7
Keywords: 横隔膜ヘルニア
Diaphragmatic hernia
Issue Date: Feb-2001
Publisher: 日本救急医学会
Journal Title: 日本救急医学会雑誌
Volume: 12
Issue: 2
Start Page: 63
End Page: 66
Abstract: Late-onset Bochdalek's hernia is rare enough to be frequently diagnosed incorrectly. We present a case of lateonset Bochdalek's hernia associated with severe dyspnea and cyanosis. A 14-month-old female infant was admitted to our emergency clinic due to severe dyspnea and cyanosis. A chest radiogram and computed tomographic (CT) scan revealed a gastrointestinal shadow in the left thorax, necessitating emergency surgery that confirmed Bochdalek's hernia. Although left lung dysplasia was observed, we found no other malformation. A few days later, the endotracheal tube was extubated and the patient had an uneventful recovery. Symptoms, signs, and radiologic findings in patients with diaphragmatic hernia after the neonatal period are difficult to diagnose, and may result in misdiagnosis. Diaphragmatic hernia should thus be considered when examining infants suffering from severe dyspnea.
Type: article (author version)
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 早川 峰司

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