The clinical analysis of hypoxic spells on patients with tetralogy of fallot
- VernacularTitle:法乐四联症缺氧发作的临床分析
- Author:
Chenhua WENG
;
Mingxiang LIN
;
Liangyu WANG
- Publication Type:Journal Article
- Keywords:
Congenital heart diseases;
Tetralogy of fallot;
Hypoxie spells
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(8):1305-1306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prophylaxis and treatment of hypoxic spells on patients with TOF.Methods Retrospectively analysed and compared the case history of the inpatients with TOP in our hospital,to analyse the epilepticus cause of hypoxic spells and study the hypoxia mechanism and summarize the prevention and control measures.Results 4(17%)cases of TOF died after hypoxic spells,the epilepticus cause of hypoxic spells included suckling,early getting up,crying,standing abruptly after stool,scorching climate,infection fever and anemia,the hypoxia mechanism was likely to the increase of infundibulum cardiac muscle contraction,the systemic circulation resistance drop suddenly,hypezventilation,high-viscosity syndrome.Conclusion To control the epilepticus cause and perform operative treatment early can reduce the hypoxic spells.The prevention and control measures were strengthening the live nurse,disconnected oxygen inhalation,oral beta-blocker therapy and venons injection 5% sodium bicarbonate.Early operative treatment was the best redical treatment.
