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中华妇幼临床医学杂志(电子版) ›› 2017, Vol. 13 ›› Issue (01) : 1 -9. doi: 10.3877/cma.j.issn.1673-5250.2017.01.001

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产时外科诊治新进展及展望
翟春雨1, 冯杰雄1,()   
  1. 1. 430030 武汉,华中科技大学同济医学院附属同济医院小儿外科
  • 收稿日期:2016-12-20 修回日期:2017-01-08 出版日期:2017-02-01
  • 通信作者: 冯杰雄

New progress and prospects of intrapartum surgery

Chunyu Zhai1, Jiexiong Feng1,()   

  1. 1. Department of Pediatric Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
  • Received:2016-12-20 Revised:2017-01-08 Published:2017-02-01
  • Corresponding author: Jiexiong Feng
  • About author:
    Corresponding author: Feng Jiexiong, Email:
引用本文:

翟春雨, 冯杰雄. 产时外科诊治新进展及展望[J/OL]. 中华妇幼临床医学杂志(电子版), 2017, 13(01): 1-9.

Chunyu Zhai, Jiexiong Feng. New progress and prospects of intrapartum surgery[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2017, 13(01): 1-9.

随着现代产前诊断技术的发展,大部分先天性畸形在胎儿期即可被诊断出来。若出生后再进行矫正,有些出生缺陷可能会急剧加重,甚至导致患儿死亡。产时外科是在胎盘循环下,即采取措施通畅胎儿呼吸道或直接进行畸形矫正,被认为是介于胎儿外科与新生儿外科之间的一项手术方式,是一项需要多个临床科室紧密合作,才能取得成功的新技术。产时麻醉技术在产时外科手术过程中起着关键作用。笔者拟就产时外科的临床适应证、产前诊断、产时麻醉技术要点、产妇并发症及新生儿预后等的最新研究进展进行阐述。

With the development of modern prenatal diagnostic techniques, most of congenital defects have already been diagnosed in the fetus period. Some birth defects may become more serious increasingly and can even lead to newborn deaths. By maintaining utero-placental circulation, the fetal airway can be secured or the defects can be corrected prior to delivery. Intrapartum surgery is a new technology which is between fetal surgery and newborn surgery and needs multidisciplinary close cooperation. Among that, anesthetic techniques play a key role. The article will review on its clinical indications, prenatal diagnoses, the key aspects of intrapartum anesthetic techniques, maternal complications and neonatal prognosis in detail.

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