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目的探讨紫绀型与非紫绀型先天性心脏病患儿的围手术期输血量,以供临床参考。方法选择2009年1月-2011年8月在深圳市孙逸仙心血管医院先天性心脏病体外循环下进行心脏手术的患儿449例,根据其疾病类型分为紫绀型先天性心脏病和非紫绀型先天性心脏病,比较两种心脏病类型患儿围手术期的输血量,并将结果进行统计学分析。结果紫绀型患儿围手术期输注的红细胞和血浆均明显多于非紫绀型患儿,组间差异有统计学意义(P<0.05)。结论紫绀型与非紫绀型先天性心脏病患儿围手术期输血量不同,医生要根据患儿的实际情况给予判断。
Objective To investigate perioperative blood transfusion in children with cyanotic and non-cyanotic congenital heart disease for clinical reference. Methods From January 2009 to August 2011, 449 children undergoing cardiac surgery under cardiopulmonary bypass with congenital heart disease of Sun Yat-sen Cardiovascular Hospital of Shenzhen were classified into cyanotic congenital heart disease and non-cyanotic congenital heart disease Congenital heart disease was compared between the two types of heart disease during perioperative blood transfusion, and the results were statistically analyzed. Results The perioperative infiltration of erythrocytes and plasma in children with cyanosis was significantly more than those without cyanosis, the difference was statistically significant (P <0.05). Conclusion The perioperative blood transfusions of cyanotic and non-cyanotic congenital heart disease patients are different. The doctor should give the judgment according to the actual situation of the child.