Lane S, Daubeney P, Walsh K, Dawkins K, Salmon A
Wessex Cardiothoracic Centre, Southampton General Hospital.
Arch Dis Child. 1995 Jan;72(1):62-3. doi: 10.1136/adc.72.1.62.
After a Fontan operation pulmonary blood flow is heavily dependent on respiration. Two patients with a Fontan and normal sinus rhythm developed episodes of collapse with loss of cardiac output secondary to the tonic phase of an epileptic fit. The forced expiratory effort during the tonic phase severely compromised systemic venous return and led to collapse due to loss of cardiac output.
在进行Fontan手术后，肺血流量严重依赖于呼吸。两名接受Fontan手术且窦性心律正常的患者，在癫痫发作的强直期出现了虚脱发作，并继发心输出量丧失。强直期的用力呼气动作严重损害了体静脉回流，导致心输出量丧失而引发虚脱。
