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目的:探讨婴幼儿先心病手术的麻醉处理方法。方法:选择2010年1月至2015年6月来我院进行手术治疗的先心病婴幼儿患者108例为研究对象,回顾性分析其手术资料,探讨其麻醉处理方法。结果:108名先心病患儿,术中均动静脉置管成功,且无穿刺并发症的发生,心率及平均动脉压较平稳。有7例患儿出现了心脏骤停,有3例患儿出现了心率失常,有5例患儿出现了呼吸骤停,2例患儿出现了过敏反应,经过采取积极有效的抢救措施,最终有3例患儿死亡,其他患儿无严重术后并发症。结论:对先心病婴幼儿患者进行平稳有效的麻醉诱导,适当进行心功能支持,快速进行麻醉及手术,保持患儿呼吸道的通畅,可以为手术的顺利进行提供必要的保障和条件。
Objective: To investigate the anesthetic management of infant congenital heart disease surgery. Methods: From January 2010 to June 2015, 108 infants with congenital heart disease who underwent surgery in our hospital from January 2010 to June 2015 were selected as the study objects. The operative data were retrospectively analyzed to discuss the anesthetic treatment methods. Results: 108 cases of children with congenital heart disease, intraoperative arteriovenous catheterization and no puncture complications, heart rate and mean arterial pressure more stable. Seven patients had cardiac arrest, 3 had arrhythmia, 5 had respiratory arrest, and 2 had anaphylactic reaction. After active and effective rescue measures, they eventually There were 3 deaths and no other postoperative complications in children. Conclusion: The steady and effective induction of anesthesia in infants and children with congenital heart disease, appropriate cardiac function support, rapid anesthesia and surgery, to keep the airway of children open can provide the necessary guarantee and conditions for the smooth operation of the operation.