小儿法乐四联症术后并发低心输出量综合征的原因分析和监护

Monitoring of Low Output Syndrome after Children's Tetrology of Fallot Treatment

低心输出量综合征是法乐四联症术后严重的并发症之一。作者回顾小儿法乐四联症根治术108例,其中11例并发低心输出量综合征,7例死亡。分析了术后低心输出量的发生原因,总结了监护体会,认为术后监护的重点在于严密观察低心输出量的早期表现,密切监测循环功能的指标及血液动力学参数,加强呼吸机管理并要做好心理护理。

Low Output Syndrome(LOS) is one of the most serious complications after correction of children's Tetralogy of Fallot (TOF). The authors reviewed 108 cases of LOS with children's TOF, among which 11 cases were complicated with LOS and 7 cases died of LOS. The authors analyzed the cases of LOS and summed up the experiment in monitoring LOS. The authors suggest that the emphasis of monitoring of LOS lies in the careful observation of the early symptoms, circulation function and hemodynamic indexes, and the management of ventilator. The psychological nursing is also important in nursing LOS complicated with TOF postoperatively.