论文部分内容阅读
目的:分析婴幼儿先天性心脏病外科治疗的临床特点。方法:总结婴幼儿先天性心脏病手术1276例的外科治疗情况。结果:男605例,女671例;年龄6天~3岁,平均13.6个月;体重2.2~18.0 kg,平均8.8 kg。1193例在全麻低温体外循环下行心脏畸形纠正术,83例采用深低温低流量体外循环。620例术中采用超滤技术。术后死亡17例(1.3%),死亡原因为低心排血综合征10例、肺动脉高压危象4例和肺部感染3例。结论:提高手术和体外循环技巧以及术后预防和治疗低心排血综合征和呼吸系统并发症的能力,是婴幼儿心脏手术成功的关键。
Objective: To analyze the clinical features of surgical treatment of congenital heart disease in infants and young children. Methods: To summarize the surgical treatment of 1276 cases of infantile congenital heart disease. Results: There were 605 males and 671 females, aged from 6 days to 3 years with an average of 13.6 months. The patients weighed 2.2 to 18.0 kg with an average of 8.8 kg. 1193 cases of cardiac deformity correction under general anesthesia hypothermia cardiopulmonary bypass, 83 cases of deep hypothermia low flow cardiopulmonary bypass. 620 cases of surgery using ultrafiltration technology. Postoperative death occurred in 17 cases (1.3%). The causes of death were 10 cases of low cardiac output syndrome, 4 cases of pulmonary hypertension crisis and 3 cases of pulmonary infection. CONCLUSIONS: Improving the skills of surgery and cardiopulmonary bypass and the ability to prevent and treat low cardiac output syndrome and respiratory complications postoperatively are key to successful cardiac surgery in infants.