摘要
目的：防治法乐四联症缺氧发作。方法：通过住院的急性缺氧发作１０８例法乐四联症患者临床资料总结，分析缺氧发作诱因、探讨缺氧机制和提出防治措施。结果：１０８例缺氧患者中，死亡１６例（１４．８％）。缺氧发作诱因包括：①哭泣和大便后突然站立；②心血管造影；③气候炎热或感染发热；④睡前和晨起活动以及进餐。发作机制可能是：①右心室漏斗肌肉收缩增加；②外周血管扩张；③过度通气；④高粘度综合征。防治主要措施是加强生活护理，间断吸氧，口服β受体阻滞剂，静脉滴注５％碳酸氢钠和造影前静脉注射５ｍｇ地塞米松。一旦确诊，尽早手术治疗。
Objective:To prevent and treat the hypoxic spell of Tetralogy of Fallot. Methods:This clinic summary was Performed on 108 patients of Tetralogy of Fallot with acucte hypoxic spell.Analysed the causes discussed the mechanisms and suggested the treatments. Results:There were 16 death (14.8%).The causes of attack hypoxic spell include:①Crying or standing suddenly after stool;②Angiocardiography;③High air temperatucre of infection and sun a fever;④before sleeping or move about in the morning,or feeding.The machanisms may be:①Increasing contraction of the right ventricular infundibular muscle;②Dilatation of peripheral vascular;③Hyperventilation;④Hyperviscosity syndrome.The treatments of reducing hypoxic spell contain:improvement of nursing care oxygen inhalation intermettentm,β blocking agent by oral,sodium bicarbonate solution intra venous by dropping and dexamethasone 5 mg intravenous before angiocardiography.If the diagnosis is defined,the surgical treatment will be performed as early as possible. Conclusion:Hypoxic spell of Tetralogy of Fallot mary be reduced by controlling inductive factors and treating timely.
出处
《中国循环杂志》
CSCD
北大核心
1998年第5期293-295,共3页
Chinese Circulation Journal
关键词
法乐氏四联症
缺氧发作
防治
Congenital heart disease
Tetralogy of Fallot
Hypoxic spell
Prevention and treatment
