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[EXIT手术的麻醉管理。病例报告及文献综述]

[Anesthesiological management of the EXIT procedure. Case report and literature review].

作者信息

Kill C, Gebhardt B, Schmidt S, Werner J A, Maier R F, Wulf H

机构信息

Klinik für Anästhesie und Intensivtherapie, Philipps-Universität, Marburg.

出版信息

Anaesthesist. 2005 Nov;54(11):1105-10. doi: 10.1007/s00101-005-0898-y.

Abstract

The ex-utero intra-partum (EXIT) procedure enables the surgeon to perform invasive procedures in an infant during cesarean section before clamping the umbilical cord. Specific anesthesiological concepts are necessary for ensuring sufficient umbilical perfusion. We report the case of a 33-year-old female undergoing cesarean section in the 36th week of pregnancy because of a large fetal cervical tumor. The EXIT procedure was performed in order to secure the infant's airway during delivery. The anesthesiological management and interdisciplinary tasks are discussed in the literature review.

摘要

子宫外产时处理(EXIT)手术使外科医生能够在剖宫产过程中,在夹住脐带之前对婴儿进行侵入性操作。确保充足的脐部灌注需要特定的麻醉学理念。我们报告一例33岁女性,因胎儿颈部巨大肿瘤,在妊娠36周时接受剖宫产。实施EXIT手术是为了在分娩期间确保婴儿气道安全。在文献综述中讨论了麻醉管理和跨学科任务。

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