新生儿心脏手术132例麻醉处理

Anesthetic management of heart surgery operations 132 cases in newborn

目的探讨新生儿心脏手术的麻醉处理。方法行心脏手术患儿132例,年龄9h～31d,体重1.12～4.15kg,经气管插管行静脉复合全身麻醉。结果主动脉阻断时间84～200min,体外循环时间135～600min,术中死亡8例,其余124例心脏自动复搏;术后渗血16例;肺部感染8例;无麻醉并发症。结论平稳的复合麻醉,术中早期纠正凝血功能,早期使用血管活性药物,加强肺保护,有利于新生儿心脏手术的成功。

Objectives To evaluate the anesthetic management of cardiac surgery in newborn with congenital heart disease. Methods 132 patients with congenital heart disease were performed under intravenous general anesthesia, aging from 9 hours to 31 days and weight ranged from 1.1-4.2 kg. Results Bypass time was 135 to 600 min, the aortic obstruction time was 84-200 min .The all patient hearts were broken up themselves after aortic obstruction. 8 cases succumbed during the operation. The complications included 8 cases of pneumonia, 16 cases of chest bleeding. Total of them had no complications in general anesthesia. Conclusions Proper anesthetic management will improve the prognosis of cardiac surgery in newborn with congenital heart disease. The improvement in protection of lung is importance for recover. The postoperative mortality and complications of newborn can be reduced by improvement in protection of blood and use drugs in the early stage after aortic obstruction.