复杂先天性心脏病合并支气管胸膜瘘患者行硬质支气管镜检的麻醉管理

患有先天性心脏病并需要接受麻醉的成年患者数量日益增加。我们报道了1例复杂先天性心脏病合并手术后慢性支气管胸膜瘘的青年患者接受硬质支气管镜手术的过程，同时回顾了这类非心脏手术的心脏病患者在围手术期的注意事项，并对单心室患者进行硬质支气管镜手术的特殊要求以及支气管胸膜瘘患者的麻醉并发症进行了讨论。

The number of adults with congenital heart disease and those who require anesthetic care are increasing. We describe the anesthetic management of a young adult with palliated complex congenital heart disease and a chronic postsurgical bronchopleural fistula for rigid bronchoscopy. Perioperative considerations in the care of patients with single ventricle physiology for noncardiac procedures are reviewed. Specific requirements for rigid bronchoscopy are discussed in addition to the anesthetic implications of a bronchopleural fistula and particular concerns in the patient with single ventricle physiology.