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出生后即因甲状舌管囊肿阻塞喉部导致的新生儿窒息(作者译)

[Neonatal asphyxia immediately following birth due to thyreoglossal cyst blocking the larynx (author's transl)].

作者信息

Müller-Holve W, Kirchschläger H, Weber J, Saling E

出版信息

Z Geburtshilfe Perinatol. 1975 Apr;179(2):147-50.

PMID:1154825
Abstract

Report on death from asphyxia immediately after birth of a child with obstruction of the larynx by a cyst of thyreoglossus. When intubation of an asphyctic neonate is attempted and a diagnosis of an obstructing cyst is made the following measures should be taken: Immediate aspiration of the contents of the cyst or without canula under laryngoscopic control. Attempt at intubation. If unsuccessful, emergency tracheostomy, although burdened with a high morbidity in neonates. If this cannot be done quickly, then--in addition to other measures--an infusion should be given through a catheter in the umbilical vein to counteract acidosis and hypercapnia.

摘要

关于一名因甲状舌管囊肿导致喉部梗阻的新生儿出生后立即窒息死亡的报告。当试图对窒息新生儿进行插管并诊断出梗阻性囊肿时,应采取以下措施:在喉镜控制下立即抽吸囊肿内容物或不使用套管进行抽吸。尝试插管。如果不成功,则进行紧急气管切开术,尽管新生儿气管切开术的发病率很高。如果不能迅速进行气管切开术,那么——除其他措施外——应通过脐静脉导管进行输液,以对抗酸中毒和高碳酸血症。

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