Haselby K A, Moorthy S S
Department of Anesthesia, Indiana University School of Medicine, JW Riley Hospital for Children, Indianapolis 46202-5200.
Semin Pediatr Surg. 1992 Feb;1(1):65-73.
The patient with congenital heart disease who presents for noncardiac surgery requires careful evaluation and planning to avoid adverse perioperative events. This chapter presents a physiological approach to the management of anesthesia for the most common congenital heart lesions. The various congenital heart defects are categorized into lesions resulting in: (1) left-to-right shunting; (2) right-to-left shunting; (3) complete mixing of pulmonary and systemic circulation; (4) complete separation of the pulmonary and systemic circulations; (5) increased myocardial work; and (6) mechanical obstruction of the airway.
因非心脏手术前来就诊的先天性心脏病患者需要仔细评估和规划，以避免围手术期出现不良事件。本章介绍了针对最常见先天性心脏病变进行麻醉管理的生理学方法。各种先天性心脏缺陷可分为以下几类病变：（1）左向右分流；（2）右向左分流；（3）肺循环和体循环完全混合；（4）肺循环和体循环完全分离；（5）心肌做功增加；（6）气道机械性梗阻。
