Department of Anesthesiology, Kyorin University Faculty of Medicine, Tokyo 181-8611, Japan.
J Clin Anesth. 2012 Sep;24(6):487-9. doi: 10.1016/j.jclinane.2012.02.005. Epub 2012 Jul 2.
The perioperative management of pulmonary hypertension in a patient with Eisenmenger syndrome, the most advanced form of associated pulmonary artery hypertension (PAH), who required a sigmoidectomy is presented. The treatment for pulmonary hypertension was switched from oral sildenafil to intravenous epoprostenol to avoid the unexpected discontinuation of vasodilation during the perioperative period. The scheduled perioperative conversion should be considered for patients with severe PAH undergoing major abdominal surgery to ensure the stabilization of pulmonary and systemic hemodynamics.
本文介绍了一位 Eisenmenger 综合征（一种肺动脉高压的晚期形式）患者在需要接受乙状结肠切除术时的围手术期肺动脉高压的管理。为避免围手术期血管扩张的意外中断，将肺动脉高压的治疗从口服西地那非转换为静脉内依前列醇。对于接受大型腹部手术的严重肺动脉高压患者，应考虑进行计划围手术期转换，以确保肺和全身血液动力学的稳定。
