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新生儿法洛四联症合并肺动脉瓣缺如综合征的术前管理。

Preoperative management of neonatal tetralogy of Fallot with absent pulmonary valve syndrome.

作者信息

Heinemann M K, Hanley F L

机构信息

Department of Cardiac Surgery, Children's Hospital, Harvard Medical School, Boston, Massachusetts.

出版信息

Ann Thorac Surg. 1993 Jan;55(1):172-4. doi: 10.1016/0003-4975(93)90502-9.

DOI:10.1016/0003-4975(93)90502-9
PMID:8417672
Abstract

In tetralogy of Fallot with absent pulmonary valve syndrome, aneurysmal enlargement of the central pulmonary arteries can be associated with severe bronchial stenosis and respiratory distress in the neonatal period. The ventilatory status of these patients must be stabilized before diagnostic and therapeutic interventions can be performed. This report describes the experience with prone positioning and emergency sternotomy in the preoperative care of a neonate.

摘要

在法洛四联症合并肺动脉瓣缺如综合征中,中央肺动脉的瘤样扩张可在新生儿期与严重的支气管狭窄及呼吸窘迫相关联。在能够进行诊断和治疗干预之前,必须先稳定这些患者的通气状态。本报告描述了在一名新生儿术前护理中采用俯卧位和紧急胸骨切开术的经验。

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Preoperative management with nitrogen inhalation therapy for a low-birth weight infant with tetralogy of Fallot and absent pulmonary valve.
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