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食管闭锁合并气管食管瘘、单侧肺发育不全及右位心的外科手术及麻醉管理综述

Review of surgical and anesthetic management for esophageal atresia with tracheoesophageal fistula, unilateral pulmonary agenesis and dextrocardia.

作者信息

Rentea Rebecca M, Oyetunji Tolulope A, Erkmann John, Knowlton Joshua Q, Hendrickson Richard J

机构信息

Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA.

Department of Anesthesiology, Children's Mercy Hospital, Kansas City, MO, USA.

出版信息

Pediatr Surg Int. 2017 Jul;33(7):817-821. doi: 10.1007/s00383-017-4090-7. Epub 2017 Apr 17.

DOI:10.1007/s00383-017-4090-7
PMID:28417152
Abstract

Association of unilateral severe pulmonary atresia or agenesis and esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) and dextrocardia is a rare and highly lethal combination. We report a case of a full-term female infant who had EA with TEF, right lung agenesis, and dextrocardia. Repair of the fistula took place on day of life 3. We describe anesthetic and surgical concerns of this patient's case which are keys to a good operative outcome as well as follow-up for the patient.

摘要

单侧严重肺闭锁或肺不发育与食管闭锁（EA）合并或不合并气管食管瘘（TEF）及右位心是一种罕见且致死率很高的组合。我们报告一例足月女婴，患有食管闭锁合并气管食管瘘、右肺不发育及右位心。瘘管修复于出生后第3天进行。我们描述了该病例的麻醉和手术注意事项，这些是获得良好手术结果以及对患者进行随访的关键。

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Unilateral pulmonary agenesis: a report of four cases, two diagnosed antenatally and literature review.单侧肺发育不全：4例报告，其中2例产前诊断及文献复习
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[Fetal lung imaging].[胎儿肺部成像]
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