重症婴幼儿法乐四联症围麻醉期处理探讨

目的探讨适合重症婴幼儿法乐四联症(TOF)手术的麻醉管理。方法分析30例TOF患儿的麻醉期资料。结果术后并发低心排综合症(LCOS)9例,死亡3例(10%),肺间质水肿10例(33.3%),胸腔积液5例,心包积液2例。结论重症婴幼儿法乐四联症手术麻醉危险性高,麻醉管理重点是术中加强血液保护、肺保护,转流前尽可能减少右向左分流及转流后减少低心排综合征发生。

The anaesthesia management of serious ill infants with tetralogy of Fallot

Objective To explore the management of anaesthesia in serious tetralogy of Fallot (TOF) infants. Methods Analyzing clinical data of 30 patients with TOF. Results Incidence of postoperative complications listed as follow: 9 cases had low cardiac output syndrome(LCOS),3 cases dead, 10 cases had pulmonary edema, 5 cases had hydrothorax and 2 cases had hydropericardium. Conclusion The risk of anesthesia in TOF infants is high. Protection of lung and blood should be strengthened. The management should focus on decreasing the right-to-left shunt before bypass and prevention of LCOS.