[用于产时宫外治疗（EXIT）手术的母胎麻醉]

[Maternal and foetal anaesthesia for ex utero intrapartum treatment (EXIT) procedure].

作者信息

Ducloy-Bouthors A-S, Marciniak B, Vaast P, Fayoux P, Houfflin-Debarge V, Fily A, Rakza T

机构信息

Clinique d'Anesthésie-Réanimation, Hôpital Jeanne-de-Flandre, CHRU de Lille, 2 Avenue Oscar-Lambret, 59037 Lille Cedex, France.

出版信息

Ann Fr Anesth Reanim. 2006 Jun;25(6):638-43. doi: 10.1016/j.annfar.2006.02.023. Epub 2006 May 15.

DOI:10.1016/j.annfar.2006.02.023

PMID:16698227

Abstract

The ex utero intrapartum treatment (EXIT) procedure is a surgical procedure maintaining utero-placental circulation during caesarean section. Anaesthetic implications are described: foetal transplacental anaesthesia to avoid first breathing and to permit surgical procedure on obstructed foetal airway, deep maternal haemodynamically stable anaesthesia to relax uterine smooth muscle during a long caesarean procedure but avoiding post-partum haemorrhage. Volatile anaesthesia with sevoflurane seems to be adequate for these aims. Two cases are described.

摘要

子宫外产时处理（EXIT）手术是一种在剖宫产过程中维持子宫-胎盘循环的外科手术。本文描述了其麻醉要点：胎儿经胎盘麻醉以避免首次呼吸并允许对梗阻性胎儿气道进行手术，产妇进行深度血流动力学稳定的麻醉以在长时间剖宫产过程中松弛子宫平滑肌，但要避免产后出血。七氟醚吸入麻醉似乎足以实现这些目标。文中描述了两个病例。