小儿心脏手术后神经系统并发症观察及脑功能评析

Observation Points and Brain Function Evaluation Methods for Neurological Complications after Pediatric Cardiac Surgery

为总结探析小儿心脏手术后神经系统并发症的观察要点及脑功能评估方法,对2021年1月—2021年9月广西医科大学第一附属医院收治的52例小儿心脏手术后患儿的临床资料予以回顾性分析,结果显示,小儿心脏手术后,5例患儿发生神经系统并发症,其中:脑外积液、脑萎缩1例;脑梗死1例;头颅CT明显异常2例;颅后窝积液1例。经过对症治疗和精心护理,以及采取动态脑电图检查评估脑功能情况,定时复查动态脑电图评估脑功能恢复情况,5例患儿均好转出院。研究表明,对心脏手术后发生神经系统并发症的患儿一定要及时对症治疗,同时给予针对性的护理,通过动态脑电图及时反映患儿脑功能的改变情况,并定时复查评估脑功能情况,促进患儿早日康复。

Summarize the observation points and brain function assessment methods for neurological complications after pediatric cardiac surgery.The clinical data of 52 children after cardiac surgery admitted to the First Affi liated Hospital of Guangxi Medical University from January 2021 to September 2021 were retrospectively analyzed,The results showed that 5 children suffered from neurological complications after cardiac surgery,including 1 case of extracerebral effusion and Cerebral atrophy;1 case of cerebral infarction;2 cases showed obvious abnormalities in head CT;One case of posterior fossa effusion.After symptomatic treatment and careful nursing,as well as dynamic electroencephalography examination to assess brain function,regular review of dynamic Electroencephalography to assess the recovery of brain function,5 children were discharged for improvement.The research shows that children with neurological complications after cardiac surgery must be given timely symptomatic treatment and targeted care.Dynamic electroencephalography can refl ect the changes of brain function of children in a timely manner,and regular reexamination and evaluation of brain function can promote the early recovery of children.