极早产儿腹裂合并气管狭窄手术修复1例  

Surgical repair of gastroschisis complicated by tracheostenosis in a very premature infant

作　　者：戴芬 肖文雅 徐磊[2] 王玉环[1] Dai Fen;Xiao Wenya;Xu Lei;Wang Yuhuan(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Pediatric Surgery,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院妇产科,温州325000 [2]温州医科大学附属第二医院小儿外科,温州325000

出　　处：《中华围产医学杂志》2022年第1期63-66,共4页Chinese Journal of Perinatal Medicine

摘　　要：本文报道了1例极早产儿腹裂合并气管狭窄病例的诊治过程。孕妇因“孕28周+1,发现胎儿腹裂1个月,羊水少1 d”收住温州医科大学附属第二医院。孕22周外院B超发现胎儿腹裂,孕28周+1本院复查B超提示胎儿腹裂畸形,孕29周+1自发性早产,经阴道臀位助产分娩一女活婴。由小儿外科医师行产房外科手术时患儿血氧饱和度不稳定,采取Silo袋分期手术,生后1周行先天性腹裂延期修补术。因气管插管受阻,生后3周+行气道三维重建诊断气管狭窄,生后3个月行支气管镜球囊扩张气管成形术,术后恢复佳。随访至2岁,患儿生长发育良好。We describe the diagnosis and treatment of a very premature female infant with gastroschisis complicated by tracheostenosis.The pregnant woman,whose fetus was diagnosed with gastroschisis by ultrasound at 22 weeks in a local hospital,was admitted to the Second Affiliated Hospital of Wenzhou Medical University at 28+1 weeks with oligohydramnios.Ultrasound after admission confirmed the previous diagnosis.A live baby girl was born by vaginal breech delivery at 29+1 weeks after spontaneous rupture of the membranes.Because of the unstable oxygen saturation,the neonate finally received Silo in the delivery room prior to the closure of abdominal fissure 7 d after birth,and during the placement difficult endotracheal intubation was evident.She was diagnosed with having congenital tracheal stenosis via chest CT scans with 3-dimensional reconstruction 3 weeks after birth and received transbronchoscopic balloon dilatation at 3 months after birth.During the 2-year follow-up,she grew well without any complications.

关 键 词：腹裂 气管狭窄 修复外科手术 腹部 支气管镜检查 导管插入术 扩张术 婴儿 极度早产 

分 类 号：R726.5[医药卫生—儿科]