Bourrillon A, Beaufils F, Lesage B, Huault G, Mathieu H
Arch Fr Pediatr. 1977 Apr;34(4):323-34.
The problems associated with the ventilation of children who have congenital heart disease with left to righ shunts and pulmonary hypertension are more likely to be acquired than due to the congenital malformation. Haemodynamic, angiographic, bronchoscopic and bronchographic studies demonstrated that ventilation problems arose because of compression of the bronchus by the pulmonary artery. The bronchial compression should be treated by surgery to the heart defect without removing the lung. The intervention should be early to obtain maximum benefit and to avoid irreversible damage to the bronchus.
患有左向右分流型先天性心脏病及肺动脉高压的儿童出现的通气问题，更有可能是后天获得的，而非先天性畸形所致。血流动力学、血管造影、支气管镜及支气管造影研究表明，通气问题是由于肺动脉对支气管的压迫引起的。支气管压迫应通过心脏缺陷手术治疗，而无需切除肺部。干预应尽早进行，以获得最大益处并避免支气管发生不可逆损伤。
