摘要
目的 总结婴幼儿先天性心脏病呼吸功能衰竭急诊手术治疗方法.方法 选择2011年至2013年在本院行先天性心脏病呼吸衰竭急诊手术的27例婴幼儿,其中男性15例、女性12例,年龄2～36（7.0±5.5）个月.分析其临床资料,包括术前准备、手术方法、术后管理、病死率、并发症.结果 术后死亡1例,死亡率3.7％（1/27）;主要并发症为低心排综合征16例、低氧血症11例、延迟关胸4例、出血行二次开胸止血1例、拔管后二次气管插管2例、胸腔积液9例、少尿行腹膜透析6例、肺不张8例.结论 先天性心脏病呼吸功能衰竭患儿,在非急性感染期经过积极改善术前危重状态、术中精心处理、术后严密监护,与传统的治疗流程比较,急诊手术无论是手术病死率还是并发症发生率都可以得到很好的控制.
Objective To summarize the method of emergency operation on congenital heart defect in infant with acute respiratory failure. Methods From 2011 to 2013, 27 cases of congenital heart defect in infant with acute respiratory failure, aged 2-36 （7.0±5.5）months including male 15 and female 12 underwent emergency operation in our hospital. The clinical data including preoperative preparation, operation method, postoperative management, mortality and complication were analyzed. Results The early postoperative mortality was 3.7% （1/ 27 ）. The main complications were low cardiac output syndrome in 16 cases, hypoxemia in 11 cases, delayed ster- nal closure in 4 eases, reoperation for bleeding in 1 case, reintubation in 2 cases, pleural effusion in 9 cases, peritoneal dialysis for oliguria in 6 cases, and atelectasis in 8 cases. Conclusion Congenital heart defect in infant with acute respiratory underwent emergency operation in non acute infection period, both of the mortality and complication can be well controlled through cure of the preoperative critical state actively, careful treatment in operating, intensive care in postoperative, which was compared with the traditional treatment procedure.
出处
《中国心血管病研究》
CAS
2015年第2期167-169,共3页
Chinese Journal of Cardiovascular Research
关键词
婴幼儿
先天性心脏病
呼吸衰竭
急诊手术
Infant
Congenital heart defect
Respiratory failure
Emergency operation
