지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.8
- 수록면
- 143 - 148 (6page)
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초록· 키워드
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Purpose: Congenital diaphragmatic hernia is an uncommon cause of respiratory distress in newborn infants and initially characterized by severe restrictive lung dysfunction. The problems of initial management and short-term prognosis have been well reported. However, long-term outcome has not been clearly defined. We studied the late respiratory problems and lung function after repair of congenital diaphragmatic hernia.
Methods: Fourteen patients who had repaired congenital diaphragmatic hernia at Ajou University from January 1995 to August 2009 were included for this study.
Results: Six cases (42.8%) showed late respiratory problems including recurrent bronchiolitis, pneumonia, bronchial asthma and prolonged chest wall retraction. Lung perfusion scan showed a perfusion defect in 1 case whose mean perfusion to the operated side was lower than the unaffected lung. Pulmonary function test showed restrictive pulmonary insufficiency in 2 cases. The cases with the late pulmonary problems revealed more restrictive pulmonary insufficiency compared to those without. The prolonged time taken to surgery from diagnosis, prolonged intensive care time, and prolonged ventilator care after surgery have been found to be the determinants of the impaired pulmonary functions.
Conclusion: In summary, a portion (about 20%) of the patients with congenital diaphragmatic hernia showed impaired pulmonary function, even when they had no apparent respiratory symptom or limitations of activities. From these results, regular long-term follow-up of lung function is required postoperatively in patients with congenital diaphragmatic hernia, especially in cases with the aforementioned risk factors.
Methods: Fourteen patients who had repaired congenital diaphragmatic hernia at Ajou University from January 1995 to August 2009 were included for this study.
Results: Six cases (42.8%) showed late respiratory problems including recurrent bronchiolitis, pneumonia, bronchial asthma and prolonged chest wall retraction. Lung perfusion scan showed a perfusion defect in 1 case whose mean perfusion to the operated side was lower than the unaffected lung. Pulmonary function test showed restrictive pulmonary insufficiency in 2 cases. The cases with the late pulmonary problems revealed more restrictive pulmonary insufficiency compared to those without. The prolonged time taken to surgery from diagnosis, prolonged intensive care time, and prolonged ventilator care after surgery have been found to be the determinants of the impaired pulmonary functions.
Conclusion: In summary, a portion (about 20%) of the patients with congenital diaphragmatic hernia showed impaired pulmonary function, even when they had no apparent respiratory symptom or limitations of activities. From these results, regular long-term follow-up of lung function is required postoperatively in patients with congenital diaphragmatic hernia, especially in cases with the aforementioned risk factors.
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REFERENCES
참고문헌 (15)
참고문헌 신청
1. [학술지(정기간행물)] - Arena F / 2005 / Mid- and long-term effects on pulmonary perfusion, anatomy and diaphragmatic motility in survivors of congenital diaphragmatic hernia / Pediatr Surg Int 21 : 954 ~ 959
2. [학술지(정기간행물)] - Kim JC / 2006 / Congenital posterolateral diaphragmatic hernia in Korea: a survey by the Korean Association of Pediatric Surgeons / J Korean Assoc Pediatr Surg 12 : 53 ~ 69
3. [학술지(정기간행물)] - Colvin J / 2005 / Outcomes of congenital diaphragmatic hernia: a population-based study in Western Australia / Pediatrics 116 : e356 ~ 363
4. [학술지(정기간행물)] - dos Santos LR / 2003 / Prognostic factors and survival in neonates with congenital diaphragmatic hernia / J Pediatr (Rio J) 79 : 81 ~ 86
5. [학술지(정기간행물)] - Kerr AA / 1977 / Lung function in children after repair of congenital diaphragmatic hernia / Arch Dis Child 52 : 902 ~ 903
2. [학술지(정기간행물)] - Kim JC / 2006 / Congenital posterolateral diaphragmatic hernia in Korea: a survey by the Korean Association of Pediatric Surgeons / J Korean Assoc Pediatr Surg 12 : 53 ~ 69
3. [학술지(정기간행물)] - Colvin J / 2005 / Outcomes of congenital diaphragmatic hernia: a population-based study in Western Australia / Pediatrics 116 : e356 ~ 363
4. [학술지(정기간행물)] - dos Santos LR / 2003 / Prognostic factors and survival in neonates with congenital diaphragmatic hernia / J Pediatr (Rio J) 79 : 81 ~ 86
5. [학술지(정기간행물)] - Kerr AA / 1977 / Lung function in children after repair of congenital diaphragmatic hernia / Arch Dis Child 52 : 902 ~ 903
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