[Anesthetic and perioperative management of a neonatal vein of Galen malformation with multiple organ failure].
[Anesthetic and perioperative management of a neonatal vein of Galen malformation with multiple organ failure].
复制标题
新生儿盖伦静脉畸形合并多器官功能衰竭的麻醉及围手术期处理
DOI：
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发表时间：
1997
期刊：
影响因子：
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通讯作者：
S. Kitamura
中科院分区：
文献类型：
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作者：
M. Takeuchi;A. Wakayama;M. Matsuyama;K. Fukumitsu;K. Kinouchi;S. Kitamura
我们治疗了一个新生儿顽固性心力衰竭由于静脉盖伦畸形。她表现出严重的多器官衰竭。围手术期的问题是心衰、呼吸衰竭、肾功能和肝功能障碍以及凝血功能障碍。直接切断供血动脉改善了她的症状该患者的麻醉问题是在切断供血动脉时大量出血和剧烈的循环变化，颅内压升高和脑缺血，以及其他潜在并发症；肝肾功能障碍，呼吸衰竭和凝血功能障碍。
We treated a neonate in intractable cardiac failure due to a vein of Galen malformation. She manifested severe multiple organ failure. Perioperative problems are cardiac failure, respiratory failure, renal as well as hepatic dysfunction, and coagulopathy. Direct clipping of the feeding arteries improved her symptoms. Anesthetic problems encountered in this patient are massive bleeding and drastic circulatory changes while clipping the feeding arteries, increased intracranial pressure and brain ischemia, and other underlying complications; hepatic and renal dysfunction, respiratory failure and coagulopathy.