上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (9): 1335-.doi: 10.3969/j.issn.1674-8115.2011.09.029

• 综述 • 上一篇    下一篇

单心室小儿手术麻醉的研究进展

张瑞冬1, 张马忠1, 陈锡明2, 刘锦纷3   

  1. 上海交通大学 医学院附属 1.上海儿童医学中心麻醉科, 上海 200127； 2.新华医院麻醉科, 上海 200092； 3.上海儿童医学中心心胸外科, 上海 200127
  • 出版日期:2011-09-28 发布日期:2011-09-27
  • 通讯作者: 刘锦纷, 电子信箱: liujinfen2002@yahoo.com。
  • 作者简介:张瑞冬（1975—）, 男, 主治医师, 博士生；电子信箱: doctorruidong@163.com。

Research progress of anesthetic management of single-ventricle children

ZHANG Rui-dong1, ZHANG Ma-zhong1, CHEN Xi-ming2, LIU Jin-fen3   

  1. 1.Department of Anesthesiology, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China； 2.Department of Anesthesiology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China；3.Department of Cardiovascular and Thoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2011-09-28 Published:2011-09-27

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摘要：

单心室生理是指一侧心室发育不良或缺如，由发育良好的一侧心室独立供应体循环和肺循环。随着对单心室生理了解的深入和手术方式的改进，单心室患儿的生存期得到了延长。该文就姑息术前、术中和术后单心室解剖、单心室生理以及手术麻醉的研究进展作一综述。

关键词: 单心室, 小儿, 麻醉

Abstract:

Single ventricle physiology occurs when one of the ventricles is hypoplastic or absent. Therefore, blood to the pulmonary and systemic vascular beds is pumped by one ventricle. The development of a number of operations, combined with a greater understanding of the physiologic requirements for success after single ventricle reconstruction has resulted in dramatic improvement in outcomes. This review highlights the anatomy and physiology of single-ventricle patients before, during and after surgical palliation. Besides, the anesthetic challenges presented by single-ventricle patients are also reviewed.

Key words: single ventricle, children, anesthesia