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Pronostic à court et long terme des hernies diaphragmatiques congénitales à révélation néonatale

Short and long-term outcomes of neonatal congenital diaphragmatic hernia

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Revue de médecine périnatale

Résumé

Les hernies des coupoles diaphragmatiques à révélation aiguéonatale ont fait l’objet, depuis une trentaine d’années, de nombreux travaux qui ont permis la survie d’enfants porteurs de formes de plus en plus graves, même si la mortalité reste élevée. La conséquence en est l’augmentation de l’incidence et de la gravité des séquelles dont certaines, respiratoires, digestives et nutritionnelles, sont la conséquence directe des anomalies diaphragmatiques et pulmonaires alors que d’autres, neurosensorielles et cognitives, reflètent la gravité des troubles respiratoires et hémodynamiques initiaux. Elles imposent l’inclusion de ces enfants dans un programme de suivi multidisciplinaire prolongé.

Abstract

In spite of the increased survival rate of high-risk congenital diaphragmatic hernia, neonatal mortality still remains high. Mid and long-term follow-up of these infants reveals significant morbidity. Pulmonary and digestive sequelae and growth failure are directly correlated with the diaphragmatic and pulmonary abnormalities. Neurodevelopmental problems reflect the severity of neonatal respiratory failure and circulatory instability. These infants should be included in long-term follow-up programs.

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  1. Hôpital Jeanne-de-Flandre, université de Lille-II, 2, avenue Oscar-Lambret, F-59037, Lille cedex, France

    P. Lequien

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  1. P. Lequien
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Lequien, P. Pronostic à court et long terme des hernies diaphragmatiques congénitales à révélation néonatale. Rev. med. perinat. 1, 42–45 (2009). https://doi.org/10.1007/s12611-009-0010-y

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  • DOI: https://doi.org/10.1007/s12611-009-0010-y

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