摘要
目的分析全麻患儿术中循环的管理。方法选取2015年1月至2016年12月于我院手术室进行心脏手术的患儿共计57例,所有患儿均给予多模式超滤技术。结果所有患儿转流时间36~232(97.26±42.74)min,主动脉阻断时问10~148(63.58±21.18)min,预充完成后,均进行400ml洗涤性ZBUF,用时9~17(12.39±1.76)min:ECC过程中,ZBUF:400~600(454.47±32.36)ml:CUF:400~500(413.84±26.28)ml;停机后,MUF:50~100(67.95±19.24)ml。转流中患儿尿量0~770(257.46±53.84)ml,超滤量200~450(367.65±34.83)ml,开放主动脉后自动力复跳55例,自动复跳率96.49%,术后死亡1例,病死率为1.75%。结论加强全麻患儿术中循环的管理对患儿手术安全及术后恢复具有重要的意义。
Objective To analyze the management of intraoperative circulation in general anesthesia. Methods A total of 57 children undergoing cardiac surgery in the operating room of our hospital from January 2015 to December 2016 were selected. All children were given multi-modal ultrafiltration. Results All patients had a flow-through time of 36 to 232( 97. 26 ± 42. 74) min and an aortic blockage of 10 to 148( 63. 58 ± 21. 18) minutes. After the pre-filling was completed,400 ml of washable ZBUF( 34. 47 ± 32. 36) ml:CUF: 400-500( 413. 84 ± 26. 28) ml,and MUF: 50-100( 67. 95 ± 19. 24) ml. The volume of urine in children was 0-770( 257. 46 ± 53. 84) ml and the volume of ultrafiltration was 200-450( 367. 65 ± 34. 83) ml. 55 cases of spontaneous rebound after opening the aorta and 96. 49% 1 case died,case fatality rate was 1. 75%. Conclusion It is of great significance to strengthen the management of intraoperative circulation in children with general anesthesia for surgical safety and postoperative recovery.
出处
《中国医疗设备》
2017年第S2期46-46,共1页
China Medical Devices
关键词
全麻手术
儿童
体外循环
管理
General anesthesia
Children
Cardiopulmonary bypass
Management
