摘要
目的总结53例小体重婴幼儿体外循环（extracorporeal circulation,ECC）中液体出入量的管理体会。方法回顾分析2006年1月~6月53例小体重（≤8kg）先天性心脏病婴幼儿的ECC资料。全部患儿均在全麻ECC下行心内直视手术。ECC中注意保持液体出入平衡,特别应关注引流与灌注、稀释与浓缩、晶体与胶体及各种电解质的补充。结果53例患儿ECC心内直视手术后无一例严重ECC相关并发症。围术期死亡1例,死亡率1.8%。结论加强ECC中各种液体的出入量平衡的管理对降低小体重婴幼儿围术期的并发症及死亡率发挥了重要作用。
OBJECTIVE To summarize the management of the fluid balance in extracorporeal circulation （ECC）for 53 cases of low -weight infants. METHODS The clinical data of 53 lowweight（ ≤ 8kg）infants with congenital heart disease were retrospectively analyzed from Jan,2006 to June, 2006. All of the cases underwent ECC and much attention was paid to the fluid balance in ECC, especially about the drainage and perfusion, the dilution and concentration, the crystalloid and colloid, and electrolytes. RESULTS No severe complications associated with ECC occurred. There was one death with a mortality of 1.8%. CONCLUSION The improved management of the fluid balance in ECC could decrease the complications and mortality occurred after ECC for low -weight infants.
出处
《中国体外循环杂志》
2007年第4期225-226,230,共3页
Chinese Journal of Extracorporeal Circulation
关键词
体外循环
婴幼儿
体重
Extracorporeal circulation
Infants
Weight
