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患有坎特雷尔五联症的早产婴儿的麻醉管理

Anaesthetic management of a prematurely born infant with Cantrell's pentalogy.

作者信息

Laloyaux P, Veyckemans F, Van Dyck M

机构信息

Department of Anesthesiology, Cliniques Universitaires St Luc, Catholic University of Louvain Medical School, Brussels, Belgium.

出版信息

Paediatr Anaesth. 1998;8(2):163-6. doi: 10.1046/j.1460-9592.1998.00687.x.

DOI:10.1046/j.1460-9592.1998.00687.x
PMID:9549746
Abstract

Cantrell's pentalogy (CP) is a rare congenital syndrome combining a defect of the supraumbilical abdominal wall, the agenesis of the lower part of the sternum and of the anterior portion of the diaphragm, the absence of the diaphragmatic part of the pericardium, and a cardiac malformation. It was first described by Cantrell in 1958 (1,2). We report the case of a prematurely born infant with CP and Wolff-Parkinson-White (WPW) syndrome who required surgery first for bilateral inguinal hernia repair and later for Blalock-Taussig shunt. During these two procedures, our anaesthetic plan was to preserve the fragile equilibrium of both the pulmonary and the cardiovascular systems.

摘要

坎特雷尔五联症(CP)是一种罕见的先天性综合征,合并脐上腹壁缺损、胸骨下部和膈肌前部发育不全、心包膈部缺如以及心脏畸形。它于1958年由坎特雷尔首次描述(1,2)。我们报告了一例患有CP和 Wolff-Parkinson-White(WPW)综合征的早产儿病例,该患儿首先需要进行双侧腹股沟疝修补手术,之后进行布莱洛克-陶西格分流术。在这两个手术过程中,我们的麻醉计划是维持脆弱的肺和心血管系统平衡。

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Perioperative management of patients with pre-excitation syndromes.预激综合征患者的围手术期管理
Rom J Anaesth Intensive Care. 2018 Oct;25(2):131-147. doi: 10.21454/rjaic.7518.252.stk.
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Spectrum of Cantrell's pentalogy: case series from a single tertiary care center and review of the literature.
坎特雷尔五联症谱系:来自单一三级医疗中心的病例系列及文献综述
Pediatr Cardiol. 2013 Oct;34(7):1703-10. doi: 10.1007/s00246-013-0706-4. Epub 2013 Apr 25.
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Pentalogy of cantrell: a report of three cases.坎特雷尔五联症:三例报告。
J Surg Tech Case Rep. 2010 Jan;2(1):20-3. doi: 10.4103/2006-8808.63717.
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Pentalogy of Cantrell: two patients and a review to determine prognostic factors for optimal approach.坎特雷尔五联症:两例病例及为确定最佳治疗方法的预后因素所做的综述
Eur J Pediatr. 2008 Jan;167(1):29-35. doi: 10.1007/s00431-007-0578-9. Epub 2007 Aug 4.