艾森曼格综合征的麻醉管理
The anaesthetic management of the Eisenmenger syndrome.
作者信息
Foster J M, Jones R M
出版信息
Ann R Coll Surg Engl. 1984 Sep;66(5):353-5.
The Eisenmenger syndrome is a form of cyanotic congenital heart disease not usually amenable to corrective surgery. It is, however, compatible with leading an active life in early adulthood and due to advances in medical therapy it is not uncommon for patients with this syndrome to live to 30 years or more. Occasionally, therefore, anaesthetists and surgeons will be required to care for these patients when they present for incidental surgery. This article reviews the appropriate measures for the safe operative and perioperative care of patients, based on an understanding of the pathophysiological changes which occur in the Eisenmenger syndrome.
艾森曼格综合征是一种青紫型先天性心脏病，通常不适合进行矫正手术。然而，它与成年早期积极的生活方式是相容的，并且由于医学治疗的进步，患有这种综合征的患者活到30岁或更长时间并不罕见。因此，偶尔当这些患者因非心脏手术前来就诊时，麻醉医生和外科医生将需要对他们进行护理。本文基于对艾森曼格综合征发生的病理生理变化的理解，综述了对患者进行安全手术及围手术期护理的适当措施。
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