Benatar-Haserfaty J, Fernández-García R, García-Trapero J, Martínez-Rodrigo A, Puig-Flores J A
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Ramón y Cajal de Madrid.
Rev Esp Anestesiol Reanim. 2003 May;50(5):245-9.
A 19-year-old man with congenital cyanotic heart disease experienced subarachnoid bleeding from a ruptured cerebral aneurysm. Immediate rebleeding with disordered hemostasis caused by prophylactic anticoagulation treatment was the cause of death. Medical progress in repairing congenital heart disease or attenuating its effects has increased the life expectancy of such patients. Anesthesiologists who are not specialized in this area may find themselves assuming responsibility for these patients during non-cardiac surgery of greater or lesser extension.
一名患有先天性紫绀型心脏病的19岁男性因脑动脉瘤破裂发生蛛网膜下腔出血。预防性抗凝治疗导致的即时再出血及止血紊乱是其死亡原因。在修复先天性心脏病或减轻其影响方面的医学进展提高了这类患者的预期寿命。在或多或少范围的非心脏手术期间，并非专门从事该领域工作的麻醉医生可能会发现自己要对这些患者负责。
