지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.2
- 수록면
- 138 - 142 (5page)
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초록· 키워드
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Purpose: The authors applied fetal stabilization and evaluated its efficacy as a therapeutic modality in the management of several congenital anomalies that can lead to perinatal respiratory distress, such as a congenital diaphragmatic hernia (CDH), large cervical lymphangioma or gastroschisis, etc.
Methods: Between Oct. 2000 and Dec. 2004, 12 newborns, with a congenital diaphragmatic hernia or gastroschisis, were observed and fetal stabilization was applied to 4 neonates. Their clinical characteristics were then retrospectively reviewed. The protocol of this procedure was as followed, (1) monitoring of the fetal respiratory movement and heart beat using Doppler ultrasonography, (2) the intravenous administration of morphine (20 to 30 ㎎) and diazepam (5 ㎎) to the mother, (3) proceed to a cesarean section when any interruptions in the fetal movement were confirmed, (4) an intravenous injection of a pancuronimum (0.5 ㎎) through the umbilical vein, (5) an immediate tracheal intubation before disruption of the placenta, (6) clamping of the umbilical cord, (7) attempt a mechanical ventilation after delivery, (8) maintain percutaneous intravenous catheterization (PIC) and (9) evaluation of the neonate.
Results: Of the 10 neonates with a CDH and the 2 with gastroschisis, fetal stabilization was applied to 3 CDH and 1 gastroschisis neonates, respectively. The survival rates were 85.7% that of conventional therapy, 66.7% for fetal stabilization in the CDH neonates and 100% for those with gastroschisis. Relatively, in those with a CDH where fetal stabilization was applied, large defects were observed and they were diagnosed at an earlier period, which could affect the mortality.
Conclusion: In our experience, fetal stabilization seems to be useful as another alternative therapeutic modality for the control of respiratory distress in the management of a CDH and gastroschisis. However, further experiences with more clinical results will be required
Methods: Between Oct. 2000 and Dec. 2004, 12 newborns, with a congenital diaphragmatic hernia or gastroschisis, were observed and fetal stabilization was applied to 4 neonates. Their clinical characteristics were then retrospectively reviewed. The protocol of this procedure was as followed, (1) monitoring of the fetal respiratory movement and heart beat using Doppler ultrasonography, (2) the intravenous administration of morphine (20 to 30 ㎎) and diazepam (5 ㎎) to the mother, (3) proceed to a cesarean section when any interruptions in the fetal movement were confirmed, (4) an intravenous injection of a pancuronimum (0.5 ㎎) through the umbilical vein, (5) an immediate tracheal intubation before disruption of the placenta, (6) clamping of the umbilical cord, (7) attempt a mechanical ventilation after delivery, (8) maintain percutaneous intravenous catheterization (PIC) and (9) evaluation of the neonate.
Results: Of the 10 neonates with a CDH and the 2 with gastroschisis, fetal stabilization was applied to 3 CDH and 1 gastroschisis neonates, respectively. The survival rates were 85.7% that of conventional therapy, 66.7% for fetal stabilization in the CDH neonates and 100% for those with gastroschisis. Relatively, in those with a CDH where fetal stabilization was applied, large defects were observed and they were diagnosed at an earlier period, which could affect the mortality.
Conclusion: In our experience, fetal stabilization seems to be useful as another alternative therapeutic modality for the control of respiratory distress in the management of a CDH and gastroschisis. However, further experiences with more clinical results will be required
목차
서론
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결과
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결론
REFERENCES
참고문헌 (12)
참고문헌 신청
1. [단행본] - Warner BW / 2004 / Congenital ddiaphragmatic hernia, In Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 17th ed / E Saunders : 2119 ~ 2121
2. [단행본] - Cass DL / 2005 / Fetal intervention, In Greenfield's Surgery: Scientific Principles and Practice. 4th ed / W.W. Lippincott : 1831 ~ 1840
3. [학술지(정기간행물)] - Downard CD / 2003 / Current therapy of infants with congenital diaphragmatic hernia / Semin Neonatol 8 : 215 ~ 221
4. [학술지(정기간행물)] - Liechty KW / 1997 / Intrapartum airway management for giant fetal neck masses: the EXIT (ex utero intrapartum treatment) procedure / Am J Obstet Gynecol 177 : 870 ~ 874
5. [학술지(정기간행물)] - Mychaliska GB / 1997 / Operating on placental support: the ex utero intrapartum treatment procedure / J Pediatr Surg 32 : 227 ~ 230
2. [단행본] - Cass DL / 2005 / Fetal intervention, In Greenfield's Surgery: Scientific Principles and Practice. 4th ed / W.W. Lippincott : 1831 ~ 1840
3. [학술지(정기간행물)] - Downard CD / 2003 / Current therapy of infants with congenital diaphragmatic hernia / Semin Neonatol 8 : 215 ~ 221
4. [학술지(정기간행물)] - Liechty KW / 1997 / Intrapartum airway management for giant fetal neck masses: the EXIT (ex utero intrapartum treatment) procedure / Am J Obstet Gynecol 177 : 870 ~ 874
5. [학술지(정기간행물)] - Mychaliska GB / 1997 / Operating on placental support: the ex utero intrapartum treatment procedure / J Pediatr Surg 32 : 227 ~ 230
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UCI(KEPA) : I410-ECN-0101-2013-514-002674511