Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York
Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York.
Pediatrics. 2014 Jul;134(1):e266-9. doi: 10.1542/peds.2013-3183. Epub 2014 Jun 16.
We present the case of a 3-month-old girl who had unrepaired Tetralogy of Fallot who presented to the emergency department with an acute hypoxic episode. The patient was hyperpneic and cyanotic, with an initial oxygen saturation of 56%. She did not respond to knee-to-chest positioning. A single dose of intranasal fentanyl was administered with subsequent resolution of her symptoms and improvement of her oxygen saturation to 78% within 10 minutes. To our knowledge, this is the first report of the successful treatment of a hypoxic episode of Tetralogy of Fallot using intranasal fentanyl.
我们报告了一例 3 个月大的女孩，患有未修复的法洛四联症，因急性缺氧发作而到急诊科就诊。患儿呼吸急促、发绀，初始血氧饱和度为 56%。她对膝胸位没有反应。给予单次鼻腔内芬太尼后，症状缓解，10 分钟内血氧饱和度升至 78%。据我们所知，这是首例使用鼻腔内芬太尼成功治疗法洛四联症缺氧发作的报告。
