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العنوان
A Study on Congenital Diaphragmatic Defects in Infancy and Childhood /
المؤلف
Shehata, Sherif Mohamed kamel.
هيئة الاعداد
باحث / شريف محمد كامل شحاتة
مشرف / إبراهيم عبد العظيم البنا
مناقش / أحمد عبد الرؤوف جابر
مناقش / أحمد محمد السامنجى
الموضوع
Surgery.
تاريخ النشر
2000.
عدد الصفحات
154 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2000
مكان الإجازة
جامعة طنطا - كلية الطب - Surgery
الفهرس
Only 14 pages are availabe for public view

from 210

from 210

Abstract

Congenital diaphragmatic defects were a group of defects that result in anatomical and physiological dysfunction of the diaphragm. The reported incidence is 1: 2500-3000 live birth. In more than 80% of cases, the defect is in the form of hernia that is associated usually with variable degree of pulmonary hypoplasia. Our concern is mainly in cases of CDH and eventration, which are depicting more than 97% of all defects. This study included 42 patients in infancy and childhood age periods with congenital diaphragmatic defects that were followed for a period ranged between 6 - 60 months with an average of 30 months. The main presenting symptom was the respiratory distress in 100% of cases, while 71.4% of them presented acutely and 28.6% presented in a delayed course including the 5 cases of eventration. On radiological examination of plain X-ray chest, the most frequent signs were mediastinal shift to the opposite side (97.6%); air filled loops in thorax (83.3%). Persistent fetal circulation resulting in pulmonary hypertension is much more common in high-risk groups; we find it in 74% of high-risk group cases, while it represents 47% of other groups. Every effort must be done for treating this PH. Along many decades of time no actual significant increase in the survival rate among the high-risk group of CDH has been reported, despite the introduction of many new therapeutic modalities.