胎儿镜下气管内闭塞术后新生儿死亡时尸检计算机断层扫描的应用-病例报告。

IF 1.5 4区医学 Q2 MEDICINE, LEGAL

Forensic Science, Medicine and Pathology Pub Date : 2025-06-23 DOI:10.1007/s12024-025-01036-1

Rafał Skowronek, Jacek Zamłyński, Aleksandra Borowska-Solonynko

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引用次数: 0

摘要

先天性膈疝与新生儿死亡风险高相关。据观察，每3000名活产婴儿中就有1人患有此病。胎儿镜气管闭塞术是一种治疗选择，生存率为46.4%。我们的目的是分析死后计算机断层扫描在胎儿镜下气管内闭塞术后新生儿死亡的适用性，这是由于严重的孤立性左侧先天性膈疝。在这种情况下，死后计算机断层扫描是有帮助的，因为它可以客观地评估新生儿出生后使用的程序是否能有效地进行肺通气。我们的病例是世界范围内首次使用尸检计算机断层扫描诊断胎儿镜下气管内闭塞术后新生儿死亡。

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Usefulness of postmortem computed tomography when neonatal death occurred after fetoscopic endotracheal occlusion- case report.

Congenital diaphragmatic hernia is associated with high risk of neonatal death. It is observed in about 1 in 3,000 live births. Fetoscopic tracheal occlusion procedure is a therapeutic option with survival rate 46.4%. Our aim was analysis of the suitability of postmortem computed tomography in the case of neonatal death occurred after fetoscopic endotracheal occlusion performed due to the severe isolated left-sided congenital diaphragmatic hernia. Postmortem computed tomography can be helpful in such cases because it allows for an objective assessment of whether the procedures used after the birth of the newborn enabled effective lung ventilation. Our case was the first use of postmortem computed tomography in neonatal death after fetoscopic endotracheal occlusion worldwide.

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来源期刊

Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY

CiteScore

3.90

自引率

5.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.