Recently, Hu Xiaofeng, deputy director of the Department of Imaging, the First Affiliated Hospital of the University of Science and Technology of China (Anhui Provincial Hospital), was the first author's research group, and published a research paper on congenital sputum in the international top medical journal Lancet. The paper reported a case in which the hospital used X-ray examination to identify a congenital premature infant and successfully treated it.

At the beginning of April 2017, a scar uterus maternal pregnancy gave birth to a baby boy at the cesarean section of the First Affiliated Hospital of China University of Science and Technology at 38 weeks of pregnancy. Shortly after the birth of the child, he was admitted to the neonatal ward of the pediatrician due to respiratory distress and cyanosis. The situation was critical. The medical staff quickly performed endotracheal intubation and high-frequency oscillatory ventilation, and performed bedside X-ray examination. The results showed that the child's digestive tract protruded into the left half of the chest, the mediastinum shifted to the opposite side, the bilateral lungs were severely compressed, the lungs were unclear, and the left half of the sputum could not be seen alone. The clinical diagnosis is congenital diaphragmatic hernia and the anatomical defect is in the posterolateral part of the diaphragm.

Since the child is too small, the traditional barium meal examination cannot be completed, and each handling check means risk. The neonatology department closely cooperates with the imaging department to carry out bedside radiological examination, using the nasal feeding stomach tube of premature infants, and carefully injecting the water-soluble iodinated contrast agent into the upper digestive tract of the child, successfully completing a child born less than one day. Series X-ray inspection. After clearing the location and condition, the pediatric surgical treatment team immediately performed a left posterolateral hernia repair for the child. The child recovered smoothly, and the follow-up was good 6 months after the operation. The current growth and development were normal.

Congenital spasm can cause organs in the abdominal cavity to enter the chest, oppressing the heart and lungs, severely affecting breathing, circulation, and life-threatening; mild manifestations of repeated respiratory infections may be found at an older age.

Hu Xiaofeng said that the publication of the paper indicates the important value of imaging examination for clinical treatment. It is understood that in our country, pregnant women at any time during the first 3 months of pregnancy, vaginal bleeding, ectopic pregnancy and other pregnancy-related diseases, must be examined by ultrasound. Pulmonary disease is just one of the many causes of neonatal respiratory distress, so it is important to determine a specific diagnosis. X-ray examination can identify diaphragmatic paralysis, congenital lung malformations, and intrathoracic space-occupying lesions such as pneumothorax, mediastinal mass, and congenital diaphragmatic hernia. "Lancet" editor email reply: "I hope readers and doctors can deepen their understanding of the disease and improve the level of diagnosis and treatment."


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