Dwivedi Priyanka, Kumar Satish, Ahmad Shahbaz, Sharma Santosh
Department of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
Department of Anaesthesiology and Critical Care, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India.
Anesth Essays Res. 2020 Apr-Jun;14(2):349-351. doi: 10.4103/aer.AER_65_20. Epub 2020 Oct 12.
Tetrology of Fallot's (TOF) is the most common cause of cyanotic congenital heart disease, and accounts for 10% of all congenital heart diseases. Right to left shunting and hyperviscosity of blood predisposes these patients to brain abscess. Perioperative management of these patients with uncorrected TOF for noncardiac surgery is a challenge for the anesthesiologists owing to the long-term effects of hypoxia and decreased pulmonary blood flow, resulting in considerable modification of the physiology and neurological complications. We are hereby reporting the anaesthetic management of an 8 year old child with uncorrected TOF presenting with multiple brain abscesses who underwent craniotomy with uneventful recovery.
法洛四联症（TOF）是导致青紫型先天性心脏病的最常见原因，占所有先天性心脏病的10%。右向左分流和血液高黏滞性使这些患者易患脑脓肿。对于未矫正TOF的患者进行非心脏手术的围手术期管理，对麻醉医生来说是一项挑战，因为缺氧和肺血流量减少的长期影响，会导致生理功能发生显著改变并出现神经并发症。我们在此报告一名8岁未矫正TOF且患有多发性脑脓肿的儿童的麻醉管理情况，该患儿接受了开颅手术，术后恢复顺利。
