先天性心脏病中的呼吸衰竭

Respiratory failure in congenital heart disease.

作者信息

DiCarlo J V, Steven J M

机构信息

Project Hope, Children's Hospital, Moscow, Russia.

出版信息

Pediatr Clin North Am. 1994 Jun;41(3):525-42. doi: 10.1016/s0031-3955(16)38768-5.

DOI:10.1016/s0031-3955(16)38768-5

PMID:8196990

Abstract

Infants and children with congenital heart disease (CHD) present unique difficulties when they develop respiratory failure, either as a consequence of their heart disease, in relation to cardiac surgery, or from infectious causes. Extensive cardiac surgical repairs are now being performed on younger infants with complex anatomy and physiology. The evolution of cardiac surgical technique and perioperative management has revealed the importance of subtle interactions between respiratory physiology and hemodynamic performance.

摘要

患有先天性心脏病（CHD）的婴幼儿在发生呼吸衰竭时会面临独特的困难，这可能是由其心脏病本身、与心脏手术相关，或者是由感染性病因导致的。现在，针对解剖结构和生理功能复杂的低龄婴幼儿，正在开展广泛的心脏外科修复手术。心脏外科技术和围手术期管理的发展已揭示出呼吸生理与血流动力学表现之间微妙相互作用的重要性。