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低出生体质量儿及早产儿先天性心脏病手术后监护体会 被引量:4

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摘要 目的总结90例低出生体质量新生儿(low birth weight infant, LBWI)及早产儿先天性心脏病外科手术的术后监护经验。方法术前所有患儿在新生儿重症监护室(NICU)接受治疗,因血流动力学紊乱或药物治疗无法控制予在全麻下施行外科手术治疗。非体外循环组47例,体外循环组43例。术后患儿回心外科重症监护室监护。予辐射台保暖;合理喂养;加强循环系统监测,防治低心排血量综合征;给予呼吸道湿化,对于痰多黏稠、肺部感染严重的重症患儿,给予大剂量盐酸氨溴索(沐舒坦)以稀释痰液、增加肺表面活性物质的生成,防治肺不张。结果住院死亡率为16.67%(n=15)。术后早期死亡(72h内)8例,占总死亡例数53.33%;术中死亡4例,占总例数26.67%;术后家属放弃治疗死亡3例,占总例数0.20%。术后总住院时间31(5-11)d;辅助呼吸时间为103(4—2449)h。结论早产儿或低体质量儿可早期实施先天性心脏病外科手术治疗,围术期的监护治疗及护理是手术成功的重要因素。
出处 《岭南心血管病杂志》 2013年第6期746-749,共4页 South China Journal of Cardiovascular Diseases
基金 十二五国家科技支撑计划项目(编号:2011BAI11b22) 广东省科技计划项目(编号:2011B031800005)
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参考文献5

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二级参考文献19

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