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頁籤選單縮合
題 名 | Intubation of Newborn during Delivery with Intact Umbilical Cord--A Case Report=分娩中臍帶被剪斷前執行胎兒氣管內插管 |
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作 者 | 黃佳絨; 姚文聲; 潘恩源; 李汝浩; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:2 1999.06[民88.06] |
頁 次 | 頁97-100 |
分類號 | 417.66 |
關鍵詞 | 新生兒; 氣管內管置放術; 橫膈疝氣; 剖腹生產; Infant; Newborn; Intubation; Intratracheal; Hernia; Diaphragmatic; Delivery; Cesarean section; |
語 文 | 英文(English) |
中文摘要 | 二十四歲女性,懷孕38週,因前次剖腹產及合併胎兒橫膈疝氣,而來接受剖腹產 手術,我們決定在胎兒分娩後及臍帶被剪斷前給予氣管插管,如此一來在胎兒仍屬母體循環 之一部分時,可允許醫師在施救時,有更充分的時間執行胎兒氣管內插管。孕婦在全身麻醉 下接受剖腹生產手術。在胎兒頭部及肩膀產出後而臍帶被剪斷前執行胎兒氣管內插管。氣管 內管在無菌狀態下,順利插入,隨即轉至加護病房。但因胎兒心跳過慢而須急救,在施救3.5 小時後,仍無救宣告死亡,而未能及時施行矯正手術。雖然此病人最後仍宣告不治,但此方 法即臍帶被剪斷前執行胎兒氣管內插管仍是值得推薦。尤其事先已預知胎兒產後呼吸道的維 持會有困難,或產後需急救者。在分娩中(胎兒產出但臍帶仍未被剪斷時)施行氣管內插管的 好處包括:在胎兒仍屬母體循環的一部分,胎盤仍可繼續提供氣體交換,可有較充分的時間來 建立新的呼吸道,同時安全性也較高。另外,在臍帶剪斷後,小兒科醫師可專心照顧新生兒, 而無須再重新建立呼吸道。 |
英文摘要 | A 24-year-old gravida 2, para 1 woman at 38th week gestation was scheduled for elective Cesarean section (C/S) because of a previous C/S and prenatal diagnosis of congenital diaphragmatic hernia. We decided to intubate the newborn during delivery before the umbilical cord was cut. After delivery of the fetal head and part of the shoulders, the mouth of the fetus was cleared and the trachea was intubated orally with a 2.5 mm internal diameter (I.D.) endotracheal tube under sterile conditions while the uteroplacental circulation was still intact. The patient had to be repeatedly resuscitated due to bradycardia in intensive care unit. No surgical correction of the hernia was attempted because of the poor condition of the baby, which died 3.5 hours after birth. Although our case ended up in mortality despite successful perinatal intubation, we recommend that in case where airway or ventilatory problems are anticipated, tracheal intubation is done during delivery before the umbilical cord is clamped. When the fetus is sharing the maternal circulation, it will allow physicians to have more time and safety to perform corrective measures. |
本系統中英文摘要資訊取自各篇刊載內容。