先天性高位气道阻塞综合征行胎儿镜手术联合EXIT麻醉处理1例  

Anesthetic management of a fetus with congenital high airway obstruction syndrome undergoing fetoscopy combined with ex utero intrapartum treatment:a case report

作　　者：何芸 颜娅[1] 雷晓峰 He Yun;Yan Ya;Lei Xiaofeng(Department of Surgery and Anesthesiology,Chongqing Health Center for Women and Children Women and Children′s Hospital of Chongqing Medical University,Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院、重庆医科大学附属妇女儿童医院手术麻醉科,重庆401147

出　　处：《中华麻醉学杂志》2023年第6期759-760,共2页Chinese Journal of Anesthesiology

摘　　要：孕妇,年龄30岁,体质量73 kg。既往有多囊卵巢综合症,体外受精-胚胎移植术后妊娠。孕24周彩超提示胎儿双肺体积增大,实质回声增强,胸围/腹围比例增大,膈肌低平,心胸比例减小,考虑肺发育异常,不除外高位气道梗阻。孕29周MRI提示胎儿会厌部梗阻,梗阻部位以下主气管最宽处约4.7 mm,双侧胸腔饱满,双侧膈肌变平,考虑先天性高位气道阻塞综合征(CHAOS)。考虑胎儿因气道梗阻,肺内液体积聚影响肺发育,拟行胎儿镜下胎儿气道梗阻激光切开术。

关 键 词：多囊卵巢综合症 气道梗阻 胎儿镜 液体积聚 实质回声 梗阻部位 心胸比例 麻醉处理 

分 类 号：R614[医药卫生—麻醉学]