国际麻醉学与复苏杂志   2018, Issue (2): 5-5
    
肺动脉高压患者行非心脏手术的麻醉管理研究进展
詹莉, 李琪英1()
1.重庆医科大学附属第一医院
Progress on anesthetic management of pulmonary hypertension undergoing non-cardiac surgery
 全文:
摘要:

背景 近年来,肺动脉高压(pulmonary hypertension, PH)的研究不断深入,对于其发病机制、流行病学、病理生理、诊断及治疗等方面已有较多研究,但对于非心脏手术中PH患者的麻醉管理、PH急症处理及治疗研究较少。PH是致死性且无法治愈的慢性疾病,在非心脏手术中,合并PH的患者的生命安全仍受到巨大威胁,麻醉医师在围手术期的管理面临巨大的挑战。 目的 通过分析国内外研究进展,进一步完善PH围手术期管理。 内容 就PH的研究进展和围手术期处理及相关研究进行综述。 趋向 非心脏手术合并PH将被进一步关注及研究,并对麻醉医师在围手术期精确管理提供更多方案,为减少患者在非心脏手术的病死率及并发症提供更多的指导意义。

关键词: 肺动脉高压; 麻醉; 围手术期; 非心脏手术
Abstract:

Background Recently,pulmonary hypertension(PH) has been studied worldwide. PH is a complex disorder of the pulmonary vasculature that leads to increased perioperative morbidity and mortality. PH constitute a significant risk in patients with non-cardiac surgery. The surgical patient is frightened with life-threatening consequences and anesthetic management is great challenging. Objective A thorough understanding of the pathophysiology, the severity of the disease and accurately anesthetic management is required to reduce the morbidity and mortality in perioperative period. Content In this article, we aim to reviewing studies published in the last decade with emphasis on pre-operative recognition and perioperative anesthesia management of adults with PH. Trend Patients with PH should be paid more attention. The anesthesia should provide accurate management to reduce morbidity and mortality.

Key words: Pulmonary hypertension; Anesthesia; Perioperative; Non-cardiac surgery