室缺合并肺高压患儿心脏术后的呼吸道护理

Respiratory Tract Care for Pediatric Patients with Ventricular Septal Defect Complicated with Pulmonary Hypertension

目的：总结室缺合并肺高压患儿心脏术后呼吸道护理的经验。方法：对1995年12月至1997年12月在我科实施VSD修补术的103例室缺合并肺高压患儿，术后主要从以下几方面加强呼吸道护理：适当的PEEP支持时吸；镇静；平衡出入量；定或吸痰；预防呼吸道感染；拔除气管插管后加强体疗。结果：本组使用呼吸机时间最长29d，最短池，平均11h，术后平均住院无数8d，无呼吸道并发症出现，死亡率为0。结论：加强术后呼吸道护理可减少室缺合并肺高压患儿心脏术后的井发症，促进其恢复。

Objective :To present our experience in post-operative respiratory tract management in pediatric patients with ventricular septal defect (VSD) complicated with pulmonary hypertension (PH). Methods:One hundred and three patients with VSD complicated with PH received VSD reparation in our department from Dec 1995 to Dec 1997,of whom 34 patients(33. 00 % ) had severe PH.Main nursing interventions of respiratory tract care were: appropriate PEEP support, proper sedation, liquid input and output balance, periodical suction of respiratoy tract excretions, and enhancement of chest physical therapy(CPT) after extubation. Results:In all 103 patients,the longest time of respiratory support was 29 h and the shortest was 6 h, the average being l1 h, The average post-operative time in hospital was 8d and the mortality was O. There was no respiratory complications occurring in the patients. Conclusion: The enhancement of respiratory tract care will bring about the reduction of post-operative complications and the improvement in recovery of the patients with VSD complicated PH.