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双子宫臀位、Pierre Robin胎儿伴严重小颌畸形和腭裂的改良产时宫外治疗程序

Modified ex utero intrapartum treatment procedure in a bicornuate uterus breech presentation Pierre Robin fetus with severe micrognathia and cleft palate.

作者信息

Duek Irit, Gil Ziv, Solt Ido

机构信息

The Head and Neck Center Department of Otolaryngology Head and Neck Surgery Rambam Health Care Campus Haifa Israel.

Department of Gynecology and Obstetrics Rambam Health Care Campus Haifa Israel.

出版信息

Clin Case Rep. 2018 Sep 12;6(11):2040-2044. doi: 10.1002/ccr3.1799. eCollection 2018 Nov.

DOI:10.1002/ccr3.1799
PMID:30455887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6230665/
Abstract

Thorough prenatal evaluation allows for identification of fetuses with compromised airway. The ex utero intrapartum treatment procedure enables maintaining uteroplacental circulation during cesarean section while securing a potentially obstructed fetal airway, converting a potentially catastrophic situation into a controlled one. An expert multidisciplinary team is the key to success.

摘要

全面的产前评估有助于识别气道受损的胎儿。宫外产时治疗程序能够在剖宫产期间维持子宫胎盘循环,同时确保可能受阻的胎儿气道安全,将潜在的灾难性情况转变为可控情况。一个专业的多学科团队是成功的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/0cfa7c7a9199/CCR3-6-2040-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/2a1644b3d6c8/CCR3-6-2040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/d04361d7ff32/CCR3-6-2040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/bf8bbe02a5c8/CCR3-6-2040-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/62b7f6dae289/CCR3-6-2040-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/0cfa7c7a9199/CCR3-6-2040-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/2a1644b3d6c8/CCR3-6-2040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/d04361d7ff32/CCR3-6-2040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/bf8bbe02a5c8/CCR3-6-2040-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/62b7f6dae289/CCR3-6-2040-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a74/6230665/0cfa7c7a9199/CCR3-6-2040-g005.jpg

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J Matern Fetal Neonatal Med. 2019 Mar;32(5):870-874. doi: 10.1080/14767058.2017.1390740. Epub 2017 Oct 26.
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Ex utero intrapartum treatment (EXIT) for upper airway obstruction.
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Curr Opin Otolaryngol Head Neck Surg. 2017 Apr;25(2):119-126. doi: 10.1097/MOO.0000000000000343.
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Anesthesiology. 2011 Jun;114(6):1446-52. doi: 10.1097/ALN.0b013e31821b173e.
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