Hosseinpour Amir-Reza, Shinebourne Elliot A
Department of Surgery, Royal Brompton Hospital, London, United Kingdom.
Cardiol Young. 2005 Jun;15(3):241-4. doi: 10.1017/S104795110500051X.
Pulmonary vascular disease is a risk factor for the surgical management of common arterial trunk. Surgical repair, therefore, is usually performed in early infancy, before irreversible changes can occur in the epulmonary vasculature. Because of this, there has been an increasing tendency to dispense with cardiac catheterisation as a means of assessing pulmonary vascular disease. Cardiac catheterisation, nonetheless, is still performed when there is a risk of pulmonary vascular disease, such as in older children. There are no clear guidelines, however, as to who should be catheterised. We have developed a simple screening test to help make this decision.
肺血管疾病是共同动脉干外科治疗的一个危险因素。因此，手术修复通常在婴儿早期进行，此时肺血管系统尚未发生不可逆变化。正因为如此，作为评估肺血管疾病的一种手段，心脏导管检查的使用趋势越来越小。然而，当存在肺血管疾病风险时，如在大龄儿童中，仍会进行心脏导管检查。然而，对于哪些患者应该接受导管检查，并没有明确的指导原则。我们已经开发出一种简单的筛查测试来帮助做出这一决定。
