亚甲蓝治疗体外循环下室间隔缺损修补患儿血管麻痹综合征1例  

Treatment of vasoplegic syndrome in children with ventricular septal defect repair under cardiopulmonary bypass by methylene blue:one case report

作　　者：胡铮[1] 王建设[1] 张莉 Hu Zheng;Wang Jianshe;Zhang Li(Department of Anesthesiology,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]南京医科大学附属儿童医院麻醉科,南京210008

出　　处：《国际麻醉学与复苏杂志》2025年第3期293-296,共4页International Journal of Anesthesiology and Resuscitation

基　　金：江苏省妇幼保健协会科研项目(FYX202105)。

摘　　要：血管麻痹综合征(VS)是一类常发生在体外循环下心脏手术后早期,以严重的低血压伴血流动力学高排低阻为主要特征的表现,又称血管扩张性休克,体外循环后出现此并发症如不及时处理将会给患者造成不可逆的多器官功能损害。文章介绍1例8月龄女婴接受体外循环下室间隔缺损修补术,术中出现VS,经亚甲蓝静脉注射治疗处理有效,预后良好。Vasoplegic syndrome(VS)is a condition commonly observed early after cardiac surgery with cardiopulmonary bypass,characterized by severe hypotension accompanied by high cardiac output and low systemic vascular resistance,also known as vasodilatory shock.If not treated promptly,this complication after cardiopulmonary bypass can lead to irreversible multi-organ dysfunction in patients.This case report presents an 8-month-old female infant who underwent ventricular septal defect repair with cardiopulmonary bypass,but developed VS during surgery.The patient was then effectively treated with intravenous methylene blue,resulting in a good prognosis.

关 键 词：亚甲蓝 血管麻痹综合征 体外循环 

分 类 号：R726.5[医药卫生—儿科]