Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.
Korean J Anesthesiol. 2012 Jul;63(1):80-4. doi: 10.4097/kjae.2012.63.1.80. Epub 2012 Jul 24.
Resection of large sacrococcygeal teratomas (SCTs) in premature neonates has been associated with significant perinatal mortality, making this a high risk procedure requiring careful anesthetic management. Most deaths during resection of SCTs are due to cardiac arrest caused by electrolyte imbalances, such as hyperkalemia, and massive bleeding during surgery. We describe two premature neonates who experienced cardiac arrest, one due to hyperkalemia and the other not due to hyperkalemia, during excision of large, prenatally diagnosed SCTs. We present here the considerations for anesthesia in premature neonates with huge SCTs.
切除大型骶尾部畸胎瘤（SCT）与围产期死亡率显著相关，这是一项高风险的手术，需要仔细的麻醉管理。大多数 SCT 切除过程中的死亡是由于电解质失衡引起的心脏骤停，如高钾血症，以及手术过程中的大量出血。我们描述了两名早产新生儿在切除大型产前诊断的 SCT 时经历了心脏骤停，其中一名是由于高钾血症，另一名不是由于高钾血症。我们在此介绍了对巨大 SCT 的早产儿进行麻醉的注意事项。
