PDF(Pubmed)
Abstract：
Diaphragmatic hernia is a congenital malformation, often discovered in the neonatal period, and its occurrence in adults is very rare. This patient, who was completely asymptomatic until the age of 62, had developed an intestinal obstruction and went into respiratory failure after surgery for an external auditory canal carcinoma. He was subsequently diagnosed with a late-presenting congenital diaphragmatic hernia (CDH), thus requiring surgical treatment. Anesthesiologists and critical care physicians should keep in mind the possibility of CDH as well as diaphragmatic relaxation when an unexplained elevation of the diaphragm is observed perioperatively.
摘要：
膈疝是一种先天性畸形,经常在新生儿期发现，它在成人中的发生非常罕见。这个病人,在62岁之前完全无症状，患有肠梗阻，并在外耳道癌手术后出现呼吸衰竭。他随后被诊断出患有迟发性先天性膈疝（CDH），因此需要手术治疗。当围手术期观察到原因不明的膈肌抬高时，麻醉师和重症监护医师应牢记CDH和膈肌松弛的可能性。
