胎儿手术的麻醉

Anesthesia for fetal surgery

背景随着胎儿手术的不断突破，胎儿麻醉也取得了迅猛发展。目的总结胎儿手术麻醉的发展和现状，使其得到更好的推广和认知。内容介绍了麻醉对胎儿及母体的影响，当前胎儿手术方式及主要麻醉方法，各种麻醉方法的比较及麻醉过程中的管理。趋向胎儿麻醉虽取得很大进步，但很多相关问题如麻醉药物对胎儿发育的影响仍没有满意的答案。胎儿手术的最佳麻醉计划仍需要进～步的探讨。

Background With the constant breakthroughs in fetal surgery, fetal anesthesia has also made rapid development. Objective This paper sums the development and the current situation of anesthesia for fetal surgery for promoting its wider spread and known by people. Content This paper introduces the anesthetic effects on the fetus and the mother, current fetal surgery and main anesthetic methods,comparisons of various anesthetic methods and management during anesthesia. Trend Although fetal anesthesia has made great progresses, there is no satisfactory answer for many related questions such as the effect of anesthetic agents on fetal development. Optimal anesthetic regimens for fetal surgery remains to be determined.