[1]王葵亮,王敦亮,罗 刚,等.胎儿心脏介入手术麻醉单中心临床经验[J].介入放射学杂志,2021,30(02):123-126.
 WANG Kuiliang,WANG Dunliang,LUO Gang,et al.Anesthesia for fetal cardiac intervention: single-center clinical experience[J].journal interventional radiology,2021,30(02):123-126.
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胎儿心脏介入手术麻醉单中心临床经验()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年02
页码:
123-126
栏目:
心脏介入
出版日期:
2021-02-25

文章信息/Info

Title:
Anesthesia for fetal cardiac intervention: single-center clinical experience
作者:
王葵亮 王敦亮 罗 刚 泮思林
Author(s):
WANG Kuiliang WANG Dunliang LUO Gang PAN Silin.
Heart Center, Qingdao Women and Children’s Hospital, Qingdao, Shandong Province 266034, China
关键词:
【关键词】 胎儿 孕妇 先天性心脏病 心脏介入 全身麻醉
文献标志码:
A
摘要:
【摘要】 目的 总结七氟醚、舒芬太尼和丙泊酚静吸复合全身麻醉应用于宫内胎儿心脏介入治疗(FCI)的临床经验。方法 2018年7月至2019年3月青岛市妇女儿童医院采用FCI术治疗12例先天性心脏病胎儿。其中室间隔完整型肺动脉闭锁伴右心发育不良10例,室间隔完整型危重肺动脉瓣狭窄伴右心发育不良2例。所有孕妇通过七氟醚(0.75~1.0 MAC)、舒芬太尼(0.15 μg/kg)和丙泊酚(2.0 mg/kg)静吸复合全身麻醉实现胎儿麻醉。总结孕妇和胎儿麻醉效果和并发症等临床情况。结果 12例FCI术中胎儿体位固定良好,均成功完成手术。所有孕妇术中循环稳定,无心力衰竭、呼吸衰竭、喉损伤等麻醉并发症,无孕妇死亡。术中9例胎儿出现心动过缓,给予心内注射阿托品/肾上腺素恢复正常。术后当日3例孕妇出现恶心呕吐,对症治疗后均好转;1例出现轻度腹痛,无特殊处理自行好转。术后11例胎儿宫内随访未见明显异常,均随访至足月行剖宫产顺利分娩;1例胎儿出现心力衰竭,终止妊娠。结论 七氟醚、舒芬太尼和丙泊酚静吸复合全身麻醉下孕妇和胎儿循环稳定,子宫松弛适度,胎儿体位固定良好,可保证FCI术顺利进行。该麻醉方法安全有效。

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相似文献/References:

[1]泮思林.我国胎儿先天性心脏病介入治疗的探索和展望[J].介入放射学杂志,2019,28(10):917.
 PAN Silin..Exploration and prospect of interventional therapy for fetal congenital heart diseases in China[J].journal interventional radiology,2019,28(02):917.

备注/Memo

备注/Memo:
(收稿日期:2020- 05- 18)
(本文编辑:边 佶)
更新日期/Last Update: 2021-02-22