中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
3期
104-105
,共2页
刘吉平%叶玉萍%刘涌%倪如飞%刘国栋
劉吉平%葉玉萍%劉湧%倪如飛%劉國棟
류길평%협옥평%류용%예여비%류국동
子宫外产时治疗%静吸复合全麻%分娩期
子宮外產時治療%靜吸複閤全痳%分娩期
자궁외산시치료%정흡복합전마%분면기
Ex-utero intrapartum treatment%Inhalation anesthesia%Confinement
子宫外产时治疗是基于"视胎儿为患者"这一理念而建立在胎儿手术与母体剖宫产术基础上的技术.此手术的关键点在于继续维持脐带对胎儿的供血与供氧,而术中胎儿的麻醉也将主要通过脐带从母体获得.此类手术的麻醉处理更是决定手术成败的重中之重.作者采用静吸复合全麻成功的为两例妊娠妇女实施了分娩期EXIT,术后母婴均存活.
子宮外產時治療是基于"視胎兒為患者"這一理唸而建立在胎兒手術與母體剖宮產術基礎上的技術.此手術的關鍵點在于繼續維持臍帶對胎兒的供血與供氧,而術中胎兒的痳醉也將主要通過臍帶從母體穫得.此類手術的痳醉處理更是決定手術成敗的重中之重.作者採用靜吸複閤全痳成功的為兩例妊娠婦女實施瞭分娩期EXIT,術後母嬰均存活.
자궁외산시치료시기우"시태인위환자"저일이념이건립재태인수술여모체부궁산술기출상적기술.차수술적관건점재우계속유지제대대태인적공혈여공양,이술중태인적마취야장주요통과제대종모체획득.차류수술적마취처리경시결정수술성패적중중지중.작자채용정흡복합전마성공적위량례임신부녀실시료분면기EXIT,술후모영균존활.
Ex-utero intrapartum treatment (EXIT)is a technology based on the ideal "Fetus as a patient". The key of the operation is to be continue keeping the oxygen and blood through the umbilical, even the anesthesia the fetus would be get from its mother. So, the successful anesthesia is more important to the operation. We have two successful cases EXIT under inhalation anesthesia, the infants and mothers are all exist.