对于药物难治性的肺动脉高压患儿，逆向Potts术可缓解其超体循环的肺动脉高压、改善右心功能、从而提高此类患儿的生存率。逆向Potts术是除肺移植以外治疗难治性肺动脉高压的一种姑息性手术。此类手术的麻醉管理极具挑战，术中可能会面临肺动脉高压危象、心脏骤停及死亡的风险。本文我们介绍了13例因难治性重度肺动脉高压而接受逆向Potts术的患儿的麻醉管理经验。
For children with refractory severe pulmonary arterial hypertension, reverse Potts procedure can relieve the pulmonary hypertension exceeding systemic circulation, improve right heart function and increase the survival rate of these patients. The reverse Potts procedure is a palliative surgery for treating refractory pulmonary arterial hypertension besides lung transplantation. The anesthetic management of such surgeries is highly challenging, with the risk of pulmonary hypertensive crises, cardiac arrest, and death during the procedure. In this article, we present the anesthetic management experience of 13 children who underwent the reverse Potts procedure due to refractory severe pulmonary arterial hypertension.
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