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目的对10kg以下先天性心脏病合并肺炎患儿进行临床治疗分析,以提高此类患儿治愈率。方法选择58例10kg以下先天性心脏病合并肺炎患儿,针对不同临床症状给予相应的治疗,并分析总结患儿的相关临床资料。结果 58例患儿中49例经过治疗后,肺炎得到控制并进行手术治疗。9例患儿因为肺炎治疗过程中病情加重,通过机械通气,急诊进行心内直视矫正心脏畸形,其中8例痊愈,1例因术后严重低心排并感染性休克死亡。结论婴幼儿先天性心脏病合并肺炎患儿要及时有效治疗,根据患儿的具体情况采取相应的治疗措施,可提高患儿的治愈率及生存率。
Objective To analyze the clinical treatment of children with congenital heart disease complicated with pneumonia below 10kg in order to improve the cure rate of such children. Methods Fifty-eight infants with congenital heart disease complicated with pneumonia under 10kg were selected for the treatment of different clinical symptoms, and the related clinical data were analyzed and summarized. Results Of the 58 patients, 49 were treated and their pneumonia was controlled and surgically treated. 9 cases of children because of aggravating conditions during the treatment of pneumonia, mechanical heart surgery, emergency heart surgery to correct heart deformity, of which 8 cases recovered, 1 case of severe low cardiac output and post-operative septic shock. Conclusion Infants with congenital heart disease complicated with pneumonia should be timely and effective treatment, according to the specific circumstances of children to take appropriate treatment measures to improve the cure rate and survival rate in children.