›› 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

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