Athar M, Ali S, Ahmed S M, Mazahir R
Department of Anaesthesiology and Critical Care, JNMCH, AMU, UP, India.
Department of Anaesthesiology and Critical Care, JNMCH, AMU, UP, India.
Rev Esp Anestesiol Reanim. 2016 Nov;63(9):544-547. doi: 10.1016/j.redar.2016.04.002. Epub 2016 May 24.
Tetralogy of fallot (TOF) is one of the most common congenital heart disease (CHD) in children. With the development of pediatric surgery and intensive care units, increasing number of grown-up CHD patients are presenting for non-cardiac surgeries. Non-operated TOF patients suffer from chronic hypoxia and decreased pulmonary blood flow resulting in considerable alteration in the physiology. The optimal management of these patients, therefore, require a thorough understanding of the pathophysiology of the uncorrected TOF. We hereby report a case of successful management of a 10-year-old child with an uncorrected TOF posted for tibial external fixation device.
法洛四联症（TOF）是儿童最常见的先天性心脏病（CHD）之一。随着小儿外科和重症监护病房的发展，越来越多的成年CHD患者需要接受非心脏手术。未经手术治疗的TOF患者存在慢性缺氧和肺血流量减少的情况，导致生理功能发生显著改变。因此，对这些患者进行最佳管理需要深入了解未经矫正的TOF的病理生理学。我们在此报告一例成功管理一名10岁未矫正TOF患儿的病例，该患儿拟行胫骨外固定架手术。
