肺血流的额外来源是否会改变双向腔肺分流后的结果?
M A Frommelt1, P C Frommelt, S Berger
1Department of Pediatrics, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee 53201, USA.
Circulation
|November 1, 1995
概括
在双向腔肺突变后增加肺血流会增加氧气和,但也会增加单心室生理学儿科患者高静脉压和胸风险.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏病 手术 手术 生产性心脏病
- 息性心脏手术是一种心脏手术.
背景情况:
- 双向腔肺突变是单心室生理学的关键中间步骤,需要缓解性手术.
- 了解术后额外的肺血流源的影响对于优化结果至关重要.
研究的目的:
- 为了评估与双向腔肺分流连接一个额外的肺血流源的风险和益处.
主要方法:
- 在1991年至1993年期间,对43名儿科患者进行双向腔肺分流的回顾性审查.
- 仅使用分流器的患者 (组1) 和使用额外流源的患者 (组2) 之间的结局比较.
主要成果:
- 第二组患者的术后中央静脉压力 (17.8mmHg与14.1mmHg) 和氧和 (86%与81%相比) 较高.
- 没有观察到医院或胸腔管天的显著差异.
- 2组的5名患者出现了胆胸部发作,而1组的5名患者没有出现 (P < .02).
结论:
- 一个额外的肺血流源后双向腔肺突变与中心静脉压力升高和改善的氧化有关.
- 这种策略增加了儿科心脏手术患者晚期胆胸部发育的风险.
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