2岁以下婴幼儿法乐氏四联症根治术的麻醉处理  

The anaesthetic management of total correction of tetralogy of fallot in infants and little children

作　　者：金红永[1] 吴双权[1] 闫国君[1] 

机构地区：[1]黑龙江省医院麻醉科,150036

出　　处：《航空航天医药》2001年第1期19-20,共2页Aerospace Medicine

摘　　要：目的 :探讨 2岁以下婴幼儿法乐氏四联症根治术的麻醉可能性。方法 :30例择期手术的 2岁以下患有法乐氏四联症的婴幼儿 ,在全麻、深低温、低流量或停循环下行“法四”根治术。结果 :本组病例术后死亡 1例 ,死亡率 3%。严重低心排综合征 1例、灌注肺 3例、肺动脉瓣返流 3例。结论 :小年龄、低体重被认为是小婴幼儿“法四”根治术的高危因素。随着麻醉和体外循环技术的进步 ,趋向小龄化的“法四”根治术可取得良好的手术效果。OBJECTIVE: To discuss the anaesthetic possibility of repair of Tetralogy of Fallot (TOF) for two year old infant and little child. METHODS: Total correction of TOF for 30 cases had been operated under the general anaesthesia. deeply low temperature with low flow rate or no circulation. RESULTS: There was one death, mortality was 3%. Low cardiac output, pneumonia, pulmonary regurgitation, were present in 1、3、3, cases respectively. CONCLUSION: Although low age and weight was thought of the dangerous factor of repair of TOF, following the development of anaesthetic technic, good outcomes may result from total correction in TOF of infant and little child.

关 键 词：婴幼儿 法乐氏四联症 根治术 麻醉 

分 类 号：R726.542[医药卫生—儿科] R614.2[医药卫生—临床医学]