摘要
目的:探讨婴幼儿体外循环心内直视手术的围术期处理及效果。方法:回顾性分析了206例实施心内直视手术婴幼儿的临床资料,年龄20d~3岁,体质量3~18(9.60±2.75)kg;非紫绀型心脏病149例,紫绀型先心病57例;206例中2例行姑息性手术,204例行根治手术。结果:全组病人术后死亡10例,死亡率4.85%;术后出现并发症28例,发生率为13.6%。结论:婴幼儿先天性心脏病应把握好手术时机尽早治疗;提高手术及体外循环技术,加强术后呼吸和循环系统管理,注意重要器官的保护和营养支持是婴幼儿心脏手术成功的保证。
Objective To summarise the experience of peri-operative management of infants undergoing open heart surgery.Methods Clinical data of 206 infants undergoing open heart surgery were analyzed retrospectively.The patients aged from 20 days to 3 years.The weight was 3~18(9.60±2.75)kg.Altogether 149 patients were found non-cyanotic and 57 with cyanotic heart diseases.Radical operation was performed on 204 patients with the exception of two by palliative operation.Results The mortality was 4.85%(10/206)and the inc...
出处
《中南大学学报(医学版)》
CAS
CSCD
北大核心
2009年第4期327-330,共4页
Journal of Central South University :Medical Science
关键词
婴幼儿
体外循环
先天性心脏病
围术期
infant
cardiopulmonary bypass
congenital heart disease
peri-operative