期刊文献+

小儿先天性心脏病介入术中高危因素与麻醉管理(附2645例分析) 被引量:4

HIGH RISK FACTORS AND ANESTHESIA MANAGEMENT OF PEDIATRIC CARDIAC CATHETERIZATION IN CHILDREN WITH CONGENITAL HEART DISEASES(ANALYSIS OF 2645 CASES)
下载PDF
导出
摘要 目的分析儿童先天性心脏病心脏导管检查造影和介入治疗术中并发症的发生率、原因、多种高危因素,总结麻醉经验。方法对2 645例接受心导管检查和介入治疗的先天性心脏病儿童术中并发症进行回顾性分析,对211例并发症按其高危风险程度归纳总结,分为主要并发症、次要并发症、一般风险事件。结果全部并发症总发病率为8.0%,主要并发症71例,次要并发症67例,一般风险事件73例,死亡3例,病死率为0.11%;并发症发病率球囊扩张组为12.6%,检查造影组为9.0%,均远高于封堵组的4.1%,同时也高于总的发生率8.0%;全组并发症小于1岁的发生率为16.6%,大于1岁的发生率为6.3%。结论儿童先天性心脏病介入术中高危事件发生率高于一般小儿麻醉手术,小于1岁的术中风险加大,球囊扩张组风险要高于封堵组。选择适合的麻醉方法、麻醉药物、有效的监测和正确的麻醉管理可减少先天性心脏病介入治疗术中的并发症。 Objective To review the complication diagnostic catheterization and cardiac interventional cathet heart disease,and analyze various kinds of high factors and Methods Two thousand six hundred and forty-five cases of retrospectively analyzed. Two hundred and eleven cases of classified into major complications, minor complicatio risk. Results The overall complication rate was 8 including three deaths, 67 minor complications and 0.11%. The complication rate for balloon dilatation rates and causes during pediatric erization in children with congenital summarize experience of anesthesia. pediatric cardiac catheterization were complications were summarized and ns,or incidents according to the degrees of 8.0%, there were 71 major complications 73 other incidents, the mortality rate was catheterization was 12.6% and 9.0% for solely diagnostic cardiac catheterization,which was higher than 4. 1 % for occlusion catheterization and 8.0% for all cases. The incidence rate in infants under 1 year old was 16.6% and 6.3% for those children over 1 year old. Conclusion High risk events occur more commonly during cardiac catheterization than during general pediatric anesthesia. Cases with higher risk are those under 1 year old. The incidence rate of complication for balloon dilatation catheterization is higher than occlusion catheterization. The severe complication can be decreased by choosing a suitable anesthesia method and drugs,effective supervision and accurate anesthesic management.
出处 《河北医科大学学报》 CAS 2008年第2期230-234,共5页 Journal of Hebei Medical University
基金 河北省科学技术研究与发展计划项目(编号06276163)
关键词 心脏缺损 先天性 儿童 手术中并发症 麻醉 heart defects, congenital Child intraoperative complication anesthesia
  • 相关文献

参考文献12

  • 1Vitiello R, McCrindle BW, Nykanen D, et al. Complications associated with pediatric cardiac catheterization[J]. J Am Coil Cardioi, 1998,32(5):1433-1440.
  • 2Cassidy SC, Schmidt KG, van Hare GF, et al. Complications of pediatric cardiac catheterization:a 3-year study[J]. J Am Coli Cardioi, 1992,19(6) : 1285-1293.
  • 3Tay CL, Tan GM, Ng SB. Criticai incident in pediatric anaesthesia:an audit of 10000 anaesthetics in Singapore[J]. Paediatr Anaesth,2001,11(6) : 711-718.
  • 4Booth P, Redington AN, Shinebourn EA, et al. Early complications of interventionai balloon catheterization in infants and children[J]. Br heart J,1991,65(2):109-112.
  • 5王云,张东亚,黄维勤.重症先天性心脏病患儿心导管及造影检查时的麻醉——369例总结[J].中国循环杂志,2001,16(1):56-57. 被引量:4
  • 6战青林,祝德刚.心血管外科麻醉常用药物学[M].长春:吉林科学技术出版社,2006.89-98.
  • 7Murat I, Constant I, Maud' huy H. Perioperative anaesthetic morbidity in children :a database of 24,165 anaesthetices over a 30-month period[J]. Paediatr Anaesth. 2004, 14(2): 158- 166.
  • 8Cohn HE, Freed MD, Helienbrand WF, et al. Complications and mortality associat.ed with cardiac catheterization in infants under one year:a prospective study[J]. Pediatr Cardioi, 1985, 6(3) : 123-131.
  • 9Verghese ST, Martin GR. Heavy sedation versus general anesthesia for pediatric invasive cardioiogy:a grayer shade of blue versus a pinker shade of pale [J]? Paediatr Cardiol, 2003,24(3) : 193-194.
  • 10Durongpisitkul K, Soongswang J, Laohaprasitiporn D, et al. Comparison of atrial septai defect closure using amplatzer septai occluder with surgery[J]. Pediatr Cardiol, 2002,23 (1) : 36-40.

二级参考文献12

  • 1蒋世良,徐仲英,黄连军,赵世华,郑宏,凌坚,张戈,戴汝平,刘延玲,王浩,王云.采用Amplatzer封堵器介入治疗继发孔房间隔缺损的并发症的防治[J].中国介入心脏病学杂志,2004,12(6):323-325. 被引量:39
  • 2任森根,陈兵,金孝梁,鲁金祥,康康,韩飞舟,吴丹宁.房间隔缺损封堵术并发急性心包填塞二例[J].中国循环杂志,2005,20(1):6-6. 被引量:1
  • 3蒋世良,黄连军,徐仲英,赵世华,凌坚,郑宏,张戈军,张岩,戴汝平,刘延玲,王云.先天性心脏病介入治疗的严重并发症分析及其防治[J].中国循环杂志,2005,20(1):21-24. 被引量:100
  • 4Masura J, Gavora P, Formanek A, et al. Transcatheter closure of secundum atrial septal defects using the new selfcentering amplatzer septal occluder., initial human experience[J]. Cathet Cardiovasc Diagn, 1997,42(4): 388-393.
  • 5Durongpisitkul K, Soongswang J, Laohaprasitiporn D, et al.Comparison of atrial septal defect closure using arnplatzer septal occluder with surgery[J]. Pediatr Cardiol, 2002,23(1) :36-40.
  • 6Hijazi ZM, Haweleh AA, Madani A,et al. Catheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder: initial clinical experience[J]. Catheter Cardiovasc Interv, 2002,56 (4) : 508-515.
  • 7Szkutnik M, Bialkowski J, Kusa J, et al. Postinfarction ventricular septal defect closure with Amplatzer occluders[J].Eur J Cardio thorac Surg, 2003,23(3) : 323-327.
  • 8Preventeza O, Sampath-Kumar S,Wasnick J,et al. Late cardiac perforation following transcatheter atrial septal defect closure[J]. Ann thorac Surg,2004,77(4): 1435-1437.
  • 9Fischer G, Kramer HH, Stieh J, et al. Transcatheter closure of secundum atrial septal defects with new self-centering Amplatzer Septal Occluder [J]. Eur Heart J, 1999,20(7): 541-549.
  • 10张秉钧.小儿麻醉进展[J].中华麻醉学杂志,1998,18(4):254-256. 被引量:57

共引文献8

同被引文献28

  • 1徐振海,付松,陆志楷,冯志英,王明海,高立兵,林薇.小儿先天性心脏病的外科治疗(附100例报告)[J].河北医科大学学报,1996,17(3):173-174. 被引量:1
  • 2肖全胜,郑清民,姚伟瑜,李群杰,李师阳.七氟醚复合丙泊酚麻醉诱导用于小儿喉罩置入的临床观察[J].临床麻醉学杂志,2007,23(4):337-338. 被引量:42
  • 3黄如珍,肖政祥,邓泉珍.不同雾化吸入方式对婴幼儿支气管肺炎治疗效果的影响[J].护理学杂志(综合版),2007,22(6):14-15. 被引量:44
  • 4Singh A,Girotra S,Mehta Y,et al.Total intravenous anesthesia with ketamine for pediatric interventional cardiac procedures[J].J Cardiothorac Vasc Anesth,2000,14(1):36-39.
  • 5Masters LT,Perrine K,Devinsky O,et al.Wada testing in pediatric patients by use of propofol anesthesia[J].Am J Neuroradiol,2000,21(7):1 302-1 305.
  • 6Gayatri P,Suneel PR,Sinha PK,et al.Evaluation of propofol-ketamine anesthesia for children undergoing cardiac catheterization procedures[J].J Interv Cardiol,2007,20(2):158-163.
  • 7TAIT AR, MALVIYA S, VOEPEL-LEWIS T, et al. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections [ J ]. Anesthesiology, 2001,95 ( 2 ) : 299 - 306.
  • 8SERAFINI G, CAVALLORO F, MORI A, et al. Upper respiratory tract infections and pediatric anesthesia [ J ]. Minerva Anestesiol, 2003,69(5) :457 -459.
  • 9HIROSHI T, KAZUMASA Y, TAKASHI T, et al. Correlation of cleft type with incidence of perioperative respiratory complications in infants with cleft lip and palate [ J ]. Paediatric Ana, 2002,12 (7) :585 -588.
  • 10TAIT AR, KNIGHT PR. Intraoperative respiratory complications in patients with upper espiratory tract infections [ J ]. Can J Anaesth 1987,34(3) :300 -303.

引证文献4

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部