论文部分内容阅读
目的探讨婴幼儿先天性心脏病心脏直视手术后早期发生心律失常的类型、机制及治疗。方法回顾性分析2011年10月至2013年10月收住的992例先天性心脏病患儿,将992例患儿分为术后未发生心律失常组(对照组)及术后发生心律失常组(心律失常组),并从心律失常组中又分出发生交界性异位型心动过速组(JET组)。术中记录主动脉阻断时间及体外循环时间,术后比较气管插管时间及监护时间。结果 197例(19.9%)在术后0~3 d内发生不同类型的心律失常。对照组中手术方法与JET组相同的患者及JET组,两组术中的主动脉阻断时间、体外循环时间及术后监护时间差异有统计学意义(P均<0.05);而气管插管时间差异无统计学意义。结论早期诊断及治疗心律失常可提高手术成功率及促进患儿早期痊愈。
Objective To investigate the types, mechanism and treatment of early arrhythmia after infantile congenital heart disease. Methods A total of 992 children with congenital heart disease admitted from October 2011 to October 2013 were retrospectively analyzed. 992 children were divided into two groups: arrhythmia group (control group) and arrhythmia group (Arrhythmia group), and the junctional ectopic tachycardia group (JET group) was separated from the arrhythmia group. Intraoperative recording aortic cross-clamping time and cardiopulmonary bypass time, postoperative tracheal intubation time and monitoring time. Results 197 cases (19.9%) had different types of arrhythmia within 0 ~ 3 days after operation. In the control group, the patients with the same JET group and JET group had significant differences in the time of aortic cross-clamping, cardiopulmonary bypass, and postoperative monitoring between the two groups (all P <0.05) Time difference was not statistically significant. Conclusion Early diagnosis and treatment of arrhythmia can improve the success rate of surgery and promote early recovery of children.