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婴幼儿心内直视手术围术期处理 被引量:4

Peri-operative management of infants undergoing open heart surgery
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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
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参考文献3

  • 1周燕萍,史珍英,陈玲,苏肇伉,丁文详.先天性心脏病术后呼吸机的早期撤离[J].上海医学,2003,26(9):690-692. 被引量:14
  • 2B. Duggal,U. Pratap,Z. Slavik,J. Kaplanova,D. Macrae. Milrinone and Low Cardiac Output Following Cardiac Surgery in Infants: Is There a Direct Myocardial Effect?[J] 2005,Pediatric Cardiology(5):642~645
  • 3Anthony F. Rossi,Danyal M. Khan,Robert Hannan,Juan Bolivar,Michel Zaidenweber,Redmond Burke. Goal-directed medical therapy and point-of-care testing improve outcomes after congenital heart surgery[J] 2005,Intensive Care Medicine(1):98~104

二级参考文献8

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