Sharma Ashima, Parasa Sujay Kumar, Gudivada Kiran Kumar, Gopinath Ramachandran
Department of Anesthesiology and Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India.
Anesth Essays Res. 2014 May-Aug;8(2):233-5. doi: 10.4103/0259-1162.134518.
Eisenmenger's physiology has significant anesthetic implications. The symptamology, in the early course of disease can be subtle at times and missed on regular PAC. Pulse oximetry, in our patient detected differential saturations. The possibility of underlying congenital cardiac illness was assumed, rescheduling of case was debated and finally the abnormal cardiac lesions were identified in ECHO in immediate postoperative period.
艾森曼格综合征的病理生理具有重要的麻醉意义。在疾病早期，症状有时可能很隐匿，常规的肺动脉导管检查可能会漏诊。在我们的患者中，脉搏血氧饱和度仪检测到了不同部位的血氧饱和度差异。考虑到存在潜在先天性心脏病的可能性，对病例重新安排进行了讨论，最终在术后即刻通过超声心动图发现了异常心脏病变。
