为一名具有功能性单心室生理状态的患者进行小手术的麻醉。
Anaesthesia for a minor procedure in a patient with fontan physiology.
作者信息
D'souza Shirley, Satarkar Bindiya, Bharne Sidhesh S
机构信息
Department of Anesthesiology, Goa Medical College, Bambolim, Goa, India.
出版信息
Indian J Anaesth. 2012 Nov;56(6):572-4. doi: 10.4103/0019-5049.104580.
Abstract
Fontan procedure is a palliative surgery done for patients born with single ventricle physiology. An understanding of the hemodynamic alterations in such a patient is important for successful perioperative management. We have discussed the anaesthetic considerations in a 12 year-old girl with complex congenital heart disease ultimately palliated by a Fontan operation, who was posted for Botox injections for upper limb spasticity under general anaesthesia.
摘要
Fontan手术是针对患有单心室生理缺陷的患者进行的姑息性手术。了解此类患者的血流动力学改变对于围手术期的成功管理至关重要。我们讨论了一名12岁患有复杂先天性心脏病并最终接受Fontan手术姑息治疗的女孩的麻醉注意事项，该女孩计划在全身麻醉下接受肉毒杆菌毒素注射以治疗上肢痉挛。
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