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机构地区:[1]上海第二医科大学附属新华医院上海儿童医学中心麻醉科,上海200127
出 处:《麻醉与监护论坛》2005年第5期305-307,共3页Forum of Anesthesia and Monitoring
摘 要:小儿气道受压较为常见.但未被认识是与心脏和主动脉弓异常相关的并发症。气道阻塞可能是由于气管支气管树与血管结构之间异常关系如血管环或肺动脉扩张、左心房扩大.心肌肥厚在气管外压迫或支气管管腔内梗阻等原因引起。对这些病人的围术期处理应引起麻醉医师的高度关注。Compression of the pediatric airway is a relatively common and often unrecognized complication related to cardiac and aortic arch anomalies Airway obstructive may be the result of an anomalous relationship between the tracheobronchial tree and vascular structures (producing a vascular ring) or the result of extrinsic oornpression caused by dilated pulmonary arteries, left atrial enlargement, massive cardiomegaly, or intraluminal bronchial obstruction, The perioperagve management of these patients has significant Implications for the anesthesiologist.
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