婴幼儿先天性心脏病围术期肺部并发症的相关因素与护理

Research the correlation factors of complication on perioperation in neonate-infants with congenital heart disease

目的探讨婴幼儿先天性心脏病体外循环手术围于术期肺部并发症的相关因素及护理措施。方法对干预组患儿加强术前护理准备，术后严密监护呼吸系统功能，根据婴幼儿生理特点住输入液体管理、气管插管护理等方面采取有效护理措施，与对照组进行对照研究。结果本组228例婴幼儿先天性心脏病体外循环手术后肺部并发症的发生率为21．49％，占并发症总数的68．06％，病死率2．19％，与对照组比较具有统计学意义（P〈0．01）。结论根据婴幼儿特点加强术前呼吸系统准备，术后进行呼吸系统的护理干预、控制输液量等是防治婴幼儿先大性心脏病术后肺部并发症的有效措施。

Objective To research correlation factors and nursing measures for complication on perioperation in neonate-infants with congenital heart disease. Methods Strengthening the techniques on nursing preparation, to strict custodial care respiratory system function after operation, according nursing measures to liquid manage and tracheal intubation to the neonate -infants physiology characteristic. Results 49 cases had complication of lungs in 228 cases of group, that was 68. 06% on the total 71 （31. 14% ） complication cases, 2.19% cases died in hospital, and the difference had statistical meaning （P 〈 0. 01 ） with Contrast group. Conclusions Those measures , such as strengthening respiratory system preparation technique for the characteristic of neonate-infants, nursing intervention to care respiratory system function and controlling infusion quantity, were effective action in prevention complication on postoperation of neonate-infants with congenital heart disease.