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一名早产儿未被识别的双主动脉弓:诊断挑战与围手术期管理

Unrecognized double aortic arch in a preterm infant: Diagnostic challenges and perioperative management.

作者信息

Srimurugan Balaji, Jayashankar Jessin, Balachandran Rakhi, Gopalraj Sunil S

机构信息

Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.

出版信息

Ann Card Anaesth. 2019 Jan-Mar;22(1):83-85. doi: 10.4103/aca.ACA_3_18.

DOI:10.4103/aca.ACA_3_18
PMID:30648685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6350440/
Abstract

Vascular rings are relatively rare, and are frequently overlooked as a potential cause of neonatal respiratory distress in non specialized centres. This might lead to delay in diagnosis during which the child is subjected to repeated respiratory insults. Procrastination in prompt diagnosis and management can lead to significant comorbidities or even death. We highlight the case report of a preterm infant with an unrecognized double aortic arch who presented with severe respiratory morbidity and the subsequent management.

摘要

血管环相对罕见,在非专科中心常被忽视,而未被视为新生儿呼吸窘迫的潜在病因。这可能导致诊断延迟,在此期间患儿会反复遭受呼吸损伤。诊断和治疗的拖延可能导致严重的合并症甚至死亡。我们重点介绍一例未被识别出双主动脉弓的早产儿病例报告,该患儿出现了严重的呼吸系统疾病及后续治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b070/6350440/17b4274a12b6/ACA-22-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b070/6350440/4c4d78c86f58/ACA-22-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b070/6350440/17b4274a12b6/ACA-22-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b070/6350440/4c4d78c86f58/ACA-22-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b070/6350440/17b4274a12b6/ACA-22-83-g002.jpg

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Unrecognized double aortic arch in a preterm infant: Diagnostic challenges and perioperative management.一名早产儿未被识别的双主动脉弓:诊断挑战与围手术期管理
Ann Card Anaesth. 2019 Jan-Mar;22(1):83-85. doi: 10.4103/aca.ACA_3_18.
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本文引用的文献

1
Vascular rings.血管环
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2
Aortopexy for persistent tracheal obstruction after double aortic arch repair.双主动脉弓修复术后持续性气管梗阻的主动脉固定术
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Surgical treatment of vascular rings: the Mayo Clinic experience.血管环的外科治疗:梅奥诊所的经验
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