胎儿镜下气管闭塞术后新生儿死亡时尸检计算机断层扫描的作用——病例报告
Usefulness of postmortem computed tomography when neonatal death occurred after fetoscopic endotracheal occlusion- case report.
作者信息
Skowronek Rafał, Zamłyński Jacek, Borowska-Solonynko Aleksandra
机构信息
Department of Forensic Medicine and Forensic Toxicology, Medical University of Silesia in Katowice, Katowice, Poland.
Department of Gynecology, Obstetrics and Oncological Gynecology, Medical University of Silesia in Katowice, Katowice, Poland.
出版信息
Forensic Sci Med Pathol. 2025 Jun 23. doi: 10.1007/s12024-025-01036-1.
Congenital diaphragmatic hernia is associated with high risk of neonatal death. It is observed in about 1 in 3,000 live births. Fetoscopic tracheal occlusion procedure is a therapeutic option with survival rate 46.4%. Our aim was analysis of the suitability of postmortem computed tomography in the case of neonatal death occurred after fetoscopic endotracheal occlusion performed due to the severe isolated left-sided congenital diaphragmatic hernia. Postmortem computed tomography can be helpful in such cases because it allows for an objective assessment of whether the procedures used after the birth of the newborn enabled effective lung ventilation. Our case was the first use of postmortem computed tomography in neonatal death after fetoscopic endotracheal occlusion worldwide.
先天性膈疝与新生儿死亡的高风险相关。每3000例活产中约有1例出现此病。胎儿镜气管闭塞术是一种治疗选择，其生存率为46.4%。我们的目的是分析在因严重孤立性左侧先天性膈疝而进行胎儿镜气管内闭塞术后发生新生儿死亡的情况下，尸体计算机断层扫描的适用性。尸体计算机断层扫描在此类病例中可能会有所帮助，因为它可以客观评估新生儿出生后所采用的程序是否实现了有效的肺通气。我们的病例是全球首例在胎儿镜气管内闭塞术后新生儿死亡中使用尸体计算机断层扫描的案例。
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