Sammut M S, Paes M L
Department of Anaesthesia, Freeman Hospital, High Heaton, Newcastle upon Tyne.
Br J Anaesth. 1997 Dec;79(6):810-2. doi: 10.1093/bja/79.6.810.
We describe the management of a patient with Eisenmenger's syndrome presenting for laparoscopic cholecystectomy. Of prime concern was maintenance of systemic vascular resistance and this was achieved using infusion of noradrenaline started before induction of anaesthesia and continued after operation. Avoidance of other factors that could potentially increase right to left shunt flow contributed to the successful outcome.
我们描述了一名患有艾森曼格综合征的患者行腹腔镜胆囊切除术的管理情况。首要关注的是维持体循环血管阻力，这通过在麻醉诱导前开始输注去甲肾上腺素并在术后持续使用得以实现。避免其他可能增加右向左分流的因素有助于取得成功的结果。
