Dütschke Peter, Scheewe Jens, Bein Berthold
Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Nov;42(11):804-13. doi: 10.1055/s-2007-1003594.
Anesthesiologists involved in the care of children with congenital heart disease (CHD) have to understand the pathophysiology of each cardiac lesion and anticipate the impact of the planned procedure. Often the dimished margin of hemodynamic stability determines the guidelines of care. In children with CHD maintainance of the homeostasis during anesthesia for a wide variety of procedures is the anesthesiologist's challenge. Left-to-right shunting means a volume load to the left ventricle frequently combined with pulmonary hypertension. Right-to-left shunting leads to a central cyanosis.
参与先天性心脏病（CHD）患儿护理的麻醉医生必须了解每种心脏病变的病理生理学，并预测计划手术的影响。通常，血流动力学稳定性的降低幅度决定了护理指南。对于患有CHD的儿童，在进行各种手术的麻醉期间维持体内平衡是麻醉医生面临的挑战。左向右分流意味着左心室容量负荷增加，常伴有肺动脉高压。右向左分流会导致中心性发绀。
