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Journals / Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi / 2016 / Cilt: 13 Sayı: 4

What Is Your Diagnosis?

Tanınız Nedır?

Burcu Artunç-ülkümen(Celal Bayar Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum A.B.D., Manisa, Turkey)
Karl Oliver Kağan(University of Tübingen, Department of Obstetrics and Gynaecology Tübingen, Germany)
Pages
184–185
Publication Date
2016-10-01
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

In cases with severe CDH o/e LHR < 25% , fetal endoscopic tracheal occlusion can be offered which may increase the survival rate 5 .

📌 3 Key Takeaways

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Objective & Hypothesis:Postnatal mortality and morbidity depends on the associated anomalies, on the position of the liver and on theremaining size of the lungs.
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Key Findings & Data:With decre- asing volume of the lungs, the number of vessels and bronchioli decreases resulting in a hampered oxygenation and pulmonary hypertension.The chance of survival can be estimated by the lung to head ratio LHR and the respe- ctive observed to expected LHR o/e LHR .
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Conclusion & Impact:In cases with severe CDH o/e LHR < 25% , fetal endoscopic tracheal occlusion can be offered which may increase the survival rate 5 .
🔬Design:Makale
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Postnatal mortality and morbidity depends on the associated anomalies, on the position of the liver and on theremaining size of the lungs. With decre- asing volume of the lungs, the number of vessels and bronchioli decreases resulting in a hampered oxygenation and pulmonary hypertension.The chance of survival can be estimated by the lung to head ratio LHR and the respe- ctive observed to expected LHR o/e LHR . To compute the LHR, the area of the contralateral lung is divided by head circumference. In general, the ratio between the observed and expected LHR is used for counseling as this marker is independent from gestational age.In a series of 161 fetuses with isolated left sided CDH and intrathoratic liver herniation, about half of the neonates were discharged from hospital alive. The chance of postnatal survival was 258 × o/e LHR % −28,68 /100. In this registry there were also eight cases with isolated right sided CDH and none of the cases survived after birth. In cases with severe CDH o/e LHR < 25% , fetal endoscopic tracheal occlusion can be offered which may increase the survival rate 5 . References

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Cite This Article

Artunç-ülkümen, B., Kağan, K. O. (2016). What Is Your Diagnosis?. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, Cilt: 13 Sayı: 4, 184–185. https://ajindex.com/articles/1420325

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References (6)

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