Tetralogy of Fallot Emergency Measures

Written by Hu Qi Feng
Pediatrics
Updated on September 02, 2024
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Generally, one should often drink water to prevent infection, prevent dehydration and complications. Infants and young children should be especially careful in their care, to avoid episodes of paroxysmal hypoxia. In mild cases of hypoxic episodes, placing them in a knee-chest position can alleviate the symptoms. In severe cases, oxygen should be administered immediately, along with the appropriate drug treatment. If the episodes cannot be effectively controlled with medication, emergency surgical intervention may be necessary. With the continuous improvement in surgical techniques this year, the mortality rate for curative surgeries has been decreasing.

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Written by Hu Qi Feng
Pediatrics
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Can Tetralogy of Fallot be cured?

With the continuous improvement of surgical techniques, the cure rate for total corrective surgery for Tetralogy of Fallot is increasing, and the mortality rate is continuously decreasing. Mild cases may have the opportunity to undergo a one-stage corrective surgery between the ages of five and nine. However, for patients with significant clinical symptoms, palliative surgery should be performed within six months after birth. Once the general condition improves and pulmonary vasculature develops, they can proceed with the corrective surgery. Overall, the cure rate for Tetralogy of Fallot is continuously improving.

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Tetralogy of Fallot in children who prefer squatting is because

Tetralogy of Fallot exhibits squatting symptoms because squatting involves flexing the lower limbs, which reduces the amount of venous return to the heart, thereby decreasing the cardiac workload. At the same time, the arteries of the lower limbs are compressed, increasing systemic vascular resistance, reducing right-to-left shunting, and temporarily alleviating hypoxia symptoms. Infants who cannot walk often prefer to be held with their thighs up, with both lower limbs bent; after they become able to walk, they frequently squat down momentarily during walking or playing.

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Emergency treatment for cyanosis in Tetralogy of Fallot

During hypoxic attacks of Tetralogy of Fallot, for mild cases, adopting the knee-chest position can provide relief. Severe cases should immediately receive oxygen and be given relevant medication treatment. Normally, attention should be paid to removing factors that cause hypoxic attacks, such as anemia and infections, and keep the child as calm as possible. For cases where hypoxia cannot be effectively controlled through the above measures, emergency surgical repair should be considered.

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Tetralogy of Fallot cyanosis cause

Tetralogy of Fallot, due to a ventricular septal defect combined with right ventricular outflow tract narrowing, can display left-to-right, bidirectional, or even right-to-left shunting at the ventricular level. Patients with mild pulmonary stenosis can have left-to-right shunting and usually do not exhibit cyanosis. However, when the pulmonary stenosis is severe, significant right-to-left shunting occurs, and clinically apparent cyanosis becomes evident. Cyanosis is commonly observed in areas rich in capillaries and superficial tissues, such as the lips, fingertips, nail beds, and bulbar conjunctiva.

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Tetralogy of Fallot Common Symptoms

The clinical manifestations of Tetralogy of Fallot include, firstly, cyanosis as the primary clinical symptom. The degree and onset of cyanosis are related to the severity of pulmonary stenosis, and it often appears in areas with abundant capillaries such as lips, fingers, toes, nail beds, and bulbar conjunctiva. Secondly, squatting symptoms are common among children; they often spontaneously squat for a while during walking or playing. Squatting, with the legs bent, reduces the venous return and thus decreases the load on the heart, temporarily relieving symptoms of hypoxia by reducing the right-to-left shunt. Thirdly, clubbing occurs due to long-term hypoxic conditions, which can cause capillary dilation and proliferation in the fingers and toes, and the local soft tissues and bones also grow and enlarge; fourthly, paroxysmal hypoxic attacks, which are most common in infants, can be triggered by breastfeeding, crying, emotional excitement, or anemia. These attacks suddenly occur and can lead to severe symptoms including difficulty breathing, fainting, convulsions, and even death.