Stein Patricia
Palomar Pomerado Health, Escondido, Calif., USA.
AORN J. 2007 Mar;85(3):509-20; quiz 521-4. doi: 10.1016/S0001-2092(07)60123-9.
Total anomalous pulmonary venous connection (TAPVC) is a congenital heart defect in which there is no connection between the pulmonary veins and the left atrium. An anomalous connection is established that allows the pulmonary veins to deliver pulmonary venous blood to the right side of the heart rather than to the left side. A patent foramen ovale or an atrial septal defect develops in utero, allowing a right-to-left shunting of blood without which the infant would die. This article describes normal embryology, abnormal embryology that results in TAPVC, types of anomalous connections, how TAPVC is diagnosed, surgical correction, and nursing interventions when caring for patients with TAPVC and dealing with the concerns of their family members.
完全性肺静脉异位连接（TAPVC）是一种先天性心脏缺陷，其中肺静脉与左心房之间没有连接。建立了一种异常连接，使肺静脉将肺静脉血输送到心脏右侧而非左侧。在子宫内会出现卵圆孔未闭或房间隔缺损，从而允许血液从右向左分流，否则婴儿会死亡。本文描述了正常胚胎学、导致TAPVC的异常胚胎学、异常连接的类型、TAPVC的诊断方法、手术矫正以及护理TAPVC患者并处理其家庭成员担忧时的护理干预措施。
