以血液粘性弹性测试为指导的动脉置换的麻醉经验在晚期后方顿患者中:一个案例报告
Tokimitsu Hibino1, Yusuke Okui2, Yoshie Toba2
1Department of Anaesthesiology, Seirei Hamamatau General Hospital, Hamamatsu, JPN.
Cureus
|August 5, 2025
概括
对于接受主动脉置换 (AVR) 的Fontan后患者,麻醉管理是复杂的. 血液粘性弹性测试在Fontan后患者中发现了纤维素因子功能障碍,指导了用纤维素因子缩物成功治疗.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 血液学 血液学 血液学
背景情况:
- 后Fontan患者在主动脉置换 (AVR) 期间对麻醉提出了独特的挑战,原因是先前的胸腔切除,粘附和潜在的凝血因子缺陷.
- 心肺旁路 (CPB) 通过稀释和消耗必要的凝血因子,进一步复杂化了凝血管理.
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