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法洛四联症患儿的围手术期护理

Perioperative care of children with tetralogy of fallot.

作者信息

Rajagopal Satish K, Thiagarajan Ravi R

机构信息

Children's Hospital Boston, 300 Longwood Avenue, Boston, MA, 02115, USA.

出版信息

Curr Treat Options Cardiovasc Med. 2011 Oct;13(5):464-74. doi: 10.1007/s11936-011-0135-8.

DOI:10.1007/s11936-011-0135-8
PMID:21647576
Abstract

Complete surgical repair of tetralogy of Fallot (TOF) around 3 months of age is the commonly undertaken management strategy in many centers and has excellent outcomes. Intervention at an earlier age, including the newborn period, may be required for children with symptoms. Early extubation from mechanical ventilation where possible may help improve outcomes for children undergoing complete repair of TOF.

摘要

在许多中心,通常的治疗策略是在3个月大左右对法洛四联症(TOF)进行完全手术修复,且效果良好。对于有症状的儿童,可能需要在更早的年龄进行干预,包括新生儿期。在可能的情况下尽早从机械通气中拔管,可能有助于改善接受TOF完全修复的儿童的预后。

相似文献

1
Perioperative care of children with tetralogy of fallot.法洛四联症患儿的围手术期护理
Curr Treat Options Cardiovasc Med. 2011 Oct;13(5):464-74. doi: 10.1007/s11936-011-0135-8.
2
Early Extubation After Repair of Tetralogy of Fallot and the Fontan Procedure: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database.法洛四联症修复术和Fontan手术术后的早期拔管:胸外科医师协会先天性心脏病手术数据库分析
Ann Thorac Surg. 2016 Sep;102(3):850-858. doi: 10.1016/j.athoracsur.2016.03.013. Epub 2016 May 10.
3
Twenty Years of Anesthetic and Perioperative Management of Patients With Tetralogy of Fallot With Absent Pulmonary Valve.法洛四联症合并肺动脉瓣缺如患者的麻醉及围手术期管理二十年
J Cardiothorac Vasc Anesth. 2017 Jun;31(3):918-921. doi: 10.1053/j.jvca.2017.02.006. Epub 2017 Feb 4.
4
Timing of complete repair of non-ductal-dependent tetralogy of Fallot and short-term postoperative outcomes, a multicenter analysis.非杜氏四联症完全修复时机与短期术后结果:一项多中心分析。
J Thorac Cardiovasc Surg. 2014 Apr;147(4):1299-305. doi: 10.1016/j.jtcvs.2013.06.019. Epub 2013 Jul 21.
5
Primary surgical repair of tetralogy of Fallot at under three months of age.三个月以下婴儿法洛四联症的一期外科修复术。
Asian Cardiovasc Thorac Ann. 2018 Sep;26(7):529-534. doi: 10.1177/0218492318803037. Epub 2018 Sep 14.
6
22q11.2 Deletion syndrome is associated with perioperative outcome in tetralogy of Fallot.22q11.2 缺失综合征与法洛四联症的围手术期结局相关。
J Thorac Cardiovasc Surg. 2013 Oct;146(4):868-73. doi: 10.1016/j.jtcvs.2012.12.028. Epub 2013 Jan 11.
7
Tetralogy of Fallot: surgical management individualized to the patient.法洛四联症:根据患者情况进行个体化手术治疗。
Ann Thorac Surg. 2001 May;71(5):1556-61; discussion 1561-3. doi: 10.1016/s0003-4975(01)02475-4.
8
Perioperative Factors Influence the Long-Term Outcomes of Children and Adolescents with Repaired Tetralogy of Fallot.围手术期因素影响法洛四联症修补术后儿童和青少年的长期预后。
Pediatr Cardiol. 2018 Oct;39(7):1433-1439. doi: 10.1007/s00246-018-1913-9. Epub 2018 Jun 6.
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Right ventricular outflow tract reintervention after primary tetralogy of Fallot repair in neonates and young infants.新生儿和婴儿期法洛四联症一期根治术后右心室流出道再干预。
J Thorac Cardiovasc Surg. 2018 Feb;155(2):726-734. doi: 10.1016/j.jtcvs.2017.09.019. Epub 2017 Sep 19.
10
Risk factors for higher cost in congenital heart operations.先天性心脏手术中成本较高的风险因素。
Ann Thorac Surg. 1997 Jul;64(1):44-8; discussion 49. doi: 10.1016/s0003-4975(97)00503-1.

本文引用的文献

1
Contemporary patterns of management of tetralogy of Fallot: data from the Society of Thoracic Surgeons Database.法洛四联症的当代治疗模式:来自胸外科医师学会数据库的数据。
Ann Thorac Surg. 2010 Sep;90(3):813-9; discussion 819-20. doi: 10.1016/j.athoracsur.2010.03.110.
2
Perioperative factors associated with prolonged mechanical ventilation after complex congenital heart surgery.与复杂先天性心脏病手术后机械通气时间延长相关的围手术期因素。
Pediatr Crit Care Med. 2011 May;12(3):e122-6. doi: 10.1097/PCC.0b013e3181e912bd.
3
Pulmonary homograft monocusp reconstruction of the right ventricular outflow tract: outcomes to the intermediate term.
右心室流出道单瓣肺动脉同种异体移植重建:中期结果。
Ann Thorac Surg. 2010 Jul;90(1):42-9. doi: 10.1016/j.athoracsur.2010.03.045.
4
Balloon pulmonary valvotomy as interim palliation for symptomatic young infants with tetralogy of Fallot.球囊肺动脉瓣切开术作为法洛四联症有症状幼儿的临时姑息治疗。
Ann Pediatr Cardiol. 2008 Jan;1(1):2-7. doi: 10.4103/0974-2069.41049.
5
Magnesium supplementation during cardiopulmonary bypass to prevent junctional ectopic tachycardia after pediatric cardiac surgery: a randomized controlled study.体外循环期间镁补充预防小儿心脏手术后交界性异位心动过速:一项随机对照研究。
J Thorac Cardiovasc Surg. 2010 Jan;139(1):162-169.e2. doi: 10.1016/j.jtcvs.2009.07.064. Epub 2009 Oct 12.
6
Tetralogy of fallot as a model to study cardiac progenitor cell migration and differentiation during heart development.法洛四联症作为研究心脏发育过程中心脏祖细胞迁移和分化的模型。
Trends Cardiovasc Med. 2009 May;19(4):130-5. doi: 10.1016/j.tcm.2009.07.004.
7
Right ventricular infundibulum sparing (RVIS) tetralogy of fallot repair: a review of over 300 patients.右室流出道保留(RVIS)法法洛四联症矫治术:超过 300 例患者的回顾性研究。
Ann Surg. 2009 Oct;250(4):611-7. doi: 10.1097/SLA.0b013e3181b79958.
8
Durability of hand-sewn valves in the right ventricular outlet.右心室流出道手工缝合瓣膜的耐久性。
J Thorac Cardiovasc Surg. 2008 Aug;136(2):290-6. doi: 10.1016/j.jtcvs.2008.02.063. Epub 2008 Jun 3.
9
Extubation after cardiothoracic surgery in neonates, children, and young adults: One year of institutional experience.
Pediatr Crit Care Med. 2007 Nov;8(6):552-555. doi: 10.1097/01.PCC.0000282174.37595.4C.
10
Pulmonary valve cusp augmentation with autologous pericardium may improve early outcome for tetralogy of Fallot.采用自体心包进行肺动脉瓣叶扩大术可能会改善法洛四联症的早期治疗效果。
J Thorac Cardiovasc Surg. 2007 Mar;133(3):640-7. doi: 10.1016/j.jtcvs.2006.10.039.