Myers Laura B, Bulich Linda A, Mizrahi Arielle, Barnewolt Carol, Estroff Judith, Benson Carol, Kim Heung Bae, Jennings Russell
Department of Anesthesia, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115-5737, USA.
J Pediatr Surg. 2003 Apr;38(4):E12. doi: 10.1053/jpsu.2003.50150.
Cervical teratomas are rare tumors of infancy that are associated with a high mortality rate caused by compression and distortion of the infant's airway. Recent attempts at managing the fetal airway before delivery have focused on the EXIT (ex-utero intrapartum treatment) procedure, in which time to secure an airway is provided while preserving uteroplacental gas exchange. The authors report the use of intraoperative ultrasound guidance during an EXIT procedure for an infant with massive cervical teratoma to aid in identification of the trachea.
颈部畸胎瘤是一种罕见的婴儿肿瘤,因其压迫和扭曲婴儿气道而导致高死亡率。近期,在分娩前处理胎儿气道的尝试主要集中在EXIT(产时宫外治疗)手术上,该手术在保留子宫胎盘气体交换的同时,争取到了确保气道安全的时间。作者报告了在EXIT手术中,对一名患有巨大颈部畸胎瘤的婴儿使用术中超声引导,以帮助识别气管。