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颈部畸胎瘤EXIT手术中气管定位的超声引导

Ultrasonographic guidance for location of the trachea during the EXIT procedure for cervical teratoma.

作者信息

Myers Laura B, Bulich Linda A, Mizrahi Arielle, Barnewolt Carol, Estroff Judith, Benson Carol, Kim Heung Bae, Jennings Russell

机构信息

Department of Anesthesia, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115-5737, USA.

出版信息

J Pediatr Surg. 2003 Apr;38(4):E12. doi: 10.1053/jpsu.2003.50150.

DOI:10.1053/jpsu.2003.50150
PMID:12677599
Abstract

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.

摘要

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。

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J Indian Assoc Pediatr Surg. 2021 Sep-Oct;26(5):299-306. doi: 10.4103/jiaps.JIAPS_145_20. Epub 2021 Sep 16.
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Congenital Giant Teratoma Arising from the Hard Palate: A Rare Clinical Presentation.源于硬腭的先天性巨大畸胎瘤:一种罕见的临床表现。
J Clin Diagn Res. 2016 Jul;10(7):ED03-4. doi: 10.7860/JCDR/2016/18863.8083. Epub 2016 Jul 1.
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A newborn with respiratory distress and hydrocephalus caused by a giant mature teratoma.
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Childs Nerv Syst. 2012 Apr;28(4):633-6. doi: 10.1007/s00381-011-1612-9. Epub 2011 Oct 27.
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Teratomas of the neck and mediastinum in children.儿童颈部和纵隔畸胎瘤
Pediatr Surg Int. 2006 Aug;22(8):627-34. doi: 10.1007/s00383-006-1724-6. Epub 2006 Jul 13.
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[Anesthesiological management of the EXIT procedure. Case report and literature review].[EXIT手术的麻醉管理。病例报告及文献综述]
Anaesthesist. 2005 Nov;54(11):1105-10. doi: 10.1007/s00101-005-0898-y.
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