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分娩程序(产时宫外治疗):巨大胎儿颈部畸胎瘤的处理

The exit procedure (ex-utero intrapartum treatment): management of giant fetal cervical teratoma.

作者信息

Castillo Félix, Peiró José L, Carreras Elena, Ruiz César, Linde Angels, Ribes Carmen, Creus Anna

机构信息

Department of Neonatology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain.

出版信息

J Perinat Med. 2007;35(6):553-5. doi: 10.1515/JPM.2007.120.

Abstract

The prognosis of giant cervical teratomas is determined by the severity of the associated airway obstruction. Ex-utero intrapartum treatment (EXIT) is a technique to establish a patent airway before completion of birth, while the infant remains on placental support. We present two cases of newborns with cervical teratomas treated with the EXIT procedure. In the first, this technique allowed a tracheotomy to be performed, and in the second, correction of tracheal displacement and subsequent nasotracheal intubation was achieved.

摘要

巨大颈部畸胎瘤的预后取决于相关气道阻塞的严重程度。产时宫外治疗(EXIT)是一种在出生完成前建立通畅气道的技术,此时婴儿仍依靠胎盘支持。我们报告两例采用EXIT手术治疗的颈部畸胎瘤新生儿病例。第一例中,该技术使气管切开得以进行;第二例中,实现了气管移位的矫正及随后的鼻气管插管。

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