Perinatal Center, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan.
J Pediatr Surg. 2011 Feb;46(2):e37-40. doi: 10.1016/j.jpedsurg.2010.10.026.
Fetal monitoring is required to avoid hypoxic injury during ex utero intrapartum treatment (EXIT). We performed a tracheostomy under EXIT in a case of suspected airway obstruction caused by a cervical teratoma. The scalp electrode was applied for continuous fetal heart rate monitoring. This device enabled us to promptly deal with fetal bradycardia caused by cord compression. We describe here the usefulness of the fetal scalp electrode for fetal monitoring under EXIT.
胎儿监测对于避免体外分娩治疗(EXIT)期间缺氧损伤是必需的。我们在一例疑似因颈部畸胎瘤引起气道阻塞的病例中进行了 EXIT 下的气管切开术。头皮电极用于连续胎心监测。该设备使我们能够及时处理因脐带受压引起的胎儿心动过缓。我们在此描述了胎儿头皮电极在 EXIT 下胎儿监测中的有用性。