婴幼儿先天性心脏病手术治疗的临床研究

Clinical study of surgical treatment of infants with congenital heart disease

目的探讨婴幼儿先天性心脏病手术治疗的临床效果和并发症情况。方法选择我院2005年1月～2012年6月手术治疗的245例婴幼儿先天性心脏病患儿作为观察对象,对术后死亡率及并发症情况进行比较。结果 245例婴幼儿先天性心脏病患儿存活222例。不同年龄段及不同体重段的死亡率比较,P<0.05。有并发症组的主动脉阻断时间、术后住院时间均长于对照组(P<0.05)。结论婴幼儿先天性心脏病手术应掌握好手术适应证及手术时机,才能减少并发症的发生,降低术后死亡率,从而取得满意的手术效果。

Objective To explore the clinical effect and complications of surgical treatment of infants with congenital heart disease. Methods In our hospital from January 2005 to June 2012 surgery, 245 cases infants with congenital heart disease as the observation objects to compare the postoperative mortality and complications. Results All 245 cases of infants with congenital heart disease patients survive for 222 cases. Different ages and different weight mortality, the difference was significant, P 〈 0.05. Group of complications of aortic cross-clamping time, postoperative hospital stay was longer than the control group, the difference was significant, P 〈 0.05. Conclusion The infants with congenital heart disease surgery should master the surgical indications and timing of surgery in order to reduce the incidence of complications and lower postoperative mortality and thus to achieve a satisfactory effect of surgery.