单心室循环我们如何应对 心脏重症专家委ppt课件.pptVIP

单心室循环－ 我们如何应对？;纲目; 单心室循环生理;正常循环生理;单心室循环生理;Preload: Qs=Qp? Depend on PBF Afterload: R=RS+RP+RVOT P(IVC) PBF Volume shift to capacitance systemic venous circulation ;Fontan 串联循环;;理想的Fontan 循环;End diastolic ventricular pressure less than10 mm Hg;Date; Fontan术后监护策略;即刻理想的生理状态;Redington et al. Progress in Pediatric Cardiology 2006;22:179-186 ;Fontan心室功能变化;低心排防治;心律失常;肺血管阻力增高;;Humbert et al. NEJM 2004;351:1425;吸入伊洛前列环素;TPG1: Before iloprost (14.5 ± 2.7) TPG2: Before extubation (9.5± 2.3) TPG3: After extubation 30min later (8.1± 1.9) ;SCMC data;凝血异常;凝血因子变化;血栓形