Botto Hugo A, Boailchuk Ivanna D, García Cecilia, Decaro Marcelo, Aiello Horacio, Copich Juan
Sanatorio de la Trinidad Palermo.
Arch Argent Pediatr. 2010 Aug;108(4):e92-5. doi: 10.1590/S0325-00752010000400013.
In recent years, the ex utero intrapartum treatment (EXIT), that involves extrauterine fetal intubation prior to delivery, has become relevant for the reduction in morbidity and mortality of neonates affected by congenital high airway obstruction syndrome (CHAOS).
We report the case of the mother of an unborn child at pregnancy week 22, who was diagnosed a congenital pulmonary malformation that precluded intrapartum fetal circulatory deficit and resulted in the conduction of an EXIT technique, with the aim of ensuring fetal blood gas exchange at the time of delivery.
A timely practice of the EXIT technique resulted, by monitoring both maternal and fetal factors that might affect fetoplacental circulation, in the birth of a child whose immediate and long-term outcomes were successful allowing the child live a normal life.
近年来，产时宫外治疗（EXIT），即在分娩前进行宫外胎儿插管，对于降低受先天性高位气道梗阻综合征（CHAOS）影响的新生儿的发病率和死亡率变得至关重要。
我们报告了一名怀孕22周未出生胎儿的母亲的病例，该母亲被诊断患有先天性肺畸形，这排除了产时胎儿循环不足的情况，并导致实施EXIT技术，目的是在分娩时确保胎儿的血气交换。
通过监测可能影响胎儿-胎盘循环的母体和胎儿因素，EXIT技术的及时实施使得一名婴儿出生，其近期和长期结果均成功，使该儿童能够过上正常生活。
