中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
34期
82-83
,共2页
低体重婴幼儿%先心病%手术%体外循环
低體重嬰幼兒%先心病%手術%體外循環
저체중영유인%선심병%수술%체외순배
Low birth weight infant%Congenital heart disease%Surgery%Cardiopulmonary bypass
目的：总结本院5年来10kg以下婴幼儿先天性心脏病的体外循环管理经验。方法：2009年7月-2014年7月收治先天性心脏病患儿123例，根据畸形复杂程度，采用浅低温或中低温体外循环，重视各种脏器的保护。结果：全组体外循环时间25～188 min，主动脉阻断时间10～123 min，转流中Hct 0.25～0.30，均顺利脱机。术后死亡5例。结论：对于婴幼儿先天性心脏病的 ECC 管理力求做到精细，能够减轻体外循环对婴幼儿的生理干扰，促进术后恢复，减少术后并发症及死亡率。
目的：總結本院5年來10kg以下嬰幼兒先天性心髒病的體外循環管理經驗。方法：2009年7月-2014年7月收治先天性心髒病患兒123例，根據畸形複雜程度，採用淺低溫或中低溫體外循環，重視各種髒器的保護。結果：全組體外循環時間25～188 min，主動脈阻斷時間10～123 min，轉流中Hct 0.25～0.30，均順利脫機。術後死亡5例。結論：對于嬰幼兒先天性心髒病的 ECC 管理力求做到精細，能夠減輕體外循環對嬰幼兒的生理榦擾，促進術後恢複，減少術後併髮癥及死亡率。
목적：총결본원5년래10kg이하영유인선천성심장병적체외순배관리경험。방법：2009년7월-2014년7월수치선천성심장병환인123례，근거기형복잡정도，채용천저온혹중저온체외순배，중시각충장기적보호。결과：전조체외순배시간25～188 min，주동맥조단시간10～123 min，전류중Hct 0.25～0.30，균순리탈궤。술후사망5례。결론：대우영유인선천성심장병적 ECC 관리력구주도정세，능구감경체외순배대영유인적생리간우，촉진술후회복，감소술후병발증급사망솔。
Objective:To summarize the management experience on cardiopulmonary bypass in congenital heart disease surgery of infants below 10kg weight in recent 5 years.Methods:123 infants with congenital heart disease were selected from July 2009 to July 2014,according to the complicated degree of deformity,we used extracorporeal circulation of mild hypothermia or in low temperature,we attached great importance to the protection of various organs.Results:the cardiopulmonary bypass time of the whole group was 25~188min,aortic cross clamping time was 10~123min,Hct in bypass was 0.25~0.30,all of them were successfully offline.5 cases were death in postoperative.Conclusion:For the ECC management of infants with congenital heart disease we must strive to do fine,so that can reduce the physiological disturbance of extracorporeal circulation on infants and promote postoperative recovery and reduce postoperative complications and mortality.
