先天性心脏病患儿全身麻醉下口腔治疗的术前风险评估  

Preoperative Risk Evaluation for Children with Congenital Heart Disease Undergoing Dental Treatment Under General Anesthesia

作　　者：罗林[1] 蒋琳琳 杨燃 吉阳[1] Lin Luo;Linlin Jiang;Ran Yang;Yang Ji(Department of Anesthesiology,West China Hospital of Stomatology,Sichuan University,Chengdu,Sichuan province,P.R.China;Department of Pediatric Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu,Sichuan province,P.R.China)

机构地区：[1]四川大学华西口腔医院麻醉科 [2]四川大学华西口腔医院儿童口腔科

出　　处：《中国口腔医学继续教育杂志》2023年第6期467-473,共7页Chinese Journal of Stomatologial Continuing Education

摘　　要：先天性心脏病是儿科常见的先天性疾病之一,对全身麻醉的安全性存在潜在的影响,该类患儿围术期处理的难度远大于非先心病患儿。本文通过查阅文献,对该类患儿口腔治疗的术前风险评估与管理进行总结,表明先心病患儿围术期风险与先心病的种类和严重程度相关,术前须从症状、体征、辅助检查、心血管专科医师的建议等多方面综合考量。Congenital heart disease(CHD)is one of the most common congenital diseases in children,and it shows a great influence on the safety of general anesthesia.Perioperative management of pediatric patients with CHD are much more difficult than normal pediatric patients.After literature review,the objective of this article is to provide an updated review on current preoperative risk evaluation of pediatric patients with CHD coming for pediatric dentistry.The results of the literature review show that perioperative risk of children with CHD is related to the type and severity of CHD.Symptoms,physical signs,laboratory examinations,advice from cardiovascular specialists,must be comprehensively considered before dental treatment.

关 键 词：全身麻醉 先天性心脏病 儿童口腔 风险 口腔治疗 

分 类 号：R72[医药卫生—儿科]