单焦化手术后严重的气流限制:临床和形态相关性
I Schulze-Neick1, S Y Ho, A Bush
1Great Ormond Street Hospital for Children NHS Trust, London, England.
Circulation
|November 18, 2000
概括
肺缩,心室隔膜缺陷和主要的风脉肺附带病因的单聚焦手术后严重的空气流限制与气道缺血有关. 这种情况是由于在MAPCA动员过程中中断了气管支气管血液供应.
科学领域:
- 心胸外科手术 心胸外科手术
- 儿童心脏病学 儿童心脏病学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 单聚焦改善了PA-VSD与MAPCA的治疗.
- 手术后严重的空气流量限制会导致发病率和死亡率.
- 支气管是耐支气管扩展剂的,这表明其他原因.
研究的目的:
- 在单焦化后调查严重空气流限制的原因.
- 在PA-VSD患者中检查气管支气管血液供应的作用.
主要方法:
- 对16名接受单聚焦治疗的儿童的临床过程和血管图进行了审查.
- 对有空气流量限制的患者进行支气管镜检查.
- 在14个心肺阻塞和7个尸检样本中检查了MAPCA解剖学.
主要成果:
- 16名儿童中有3名患有严重的空气流量限制.
- 支气管镜检查显示了气管支气管上皮质亡或缺血.
- 发现MAPCA可以供应周支气管血管网络,在手术期间可能会被中断.
结论:
- 单焦化后的早期空气流量限制与气道缺血有关.
- 在MAPCA调动期间,气管支气管血液供应中断是可能的原因.
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