Özet:

Purpose: Identification of possible prognostic factors affecting survival in congenital diaphragm Method: All patients with congenital diaphragm diagnosed treated between 2016-2020 in two newborn intensive care units were included in retrospective study. Antenatal and birth history, anthropometric measurements, the clinical characteristics of the foetus, hemitoraksic viral herniation, very low fetal lung volume (<15%) and the need for emergency intervention due to pnömotoraks in the surgery/born room, the state of development of pnömotoraksic and pulmonary hypertension and their effects on the survival state were recorded. 31 patients were taken to the study. Pulmonary hypertension (p=0,006), pnömotoraks (p=0,009), very low fetal lung volume (p<0,001), hemitoraksic liver (p=0,024) and abdominal herniation (p=0,029) have statistically increased mortality. In the binomial regression model, PTX and hypoplastic lungs were the most important mixing factors (R2 McF: 0;858, p<0,001). 19.4 percent of patients needed urgent intervention in the hospital/born room. There is no statistically significant difference between the dead and the living patients on the day of postnatal surgery. The postnatal day of surgery did not affect mortality. Pnomotoraks, very low fetal lung volume, pulmonary hypertension, hemitoraks, and hepatic herniation have been found to reduce the survival. PTX and hypoplastic lungs were the most important mixing factors.

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