CAJ | 학술논문

目的：探讨小儿单纯房间隔、室间隔缺损术后超早期拔管的安全性和经济效益。方法选择50例单纯房间隔、室间隔缺损患儿，按随机数字表法分为两组，每组25例，Ⅰ组超早期拔管组（手术室内拔管或者术后1 h内拔管），Ⅱ组为早期拔管组（术后1～6 h内拔管）。比较两组患儿的一般资料、拔管前后血气分析、住院期间总费用、ICU停留时间、再次插管率及肺部并发症。结果两组拔管后30 min血气分析各指标、术后住院时间、再次插管率、低氧血症率、肺部感染率、支气管痉挛率比较差异无统计学意义（ P＞0.05）。Ⅰ组ICU停留时间、住院期间总费用较Ⅱ组少，差异有统计学意义（ P＜0.01）。结论对于单纯房间隔、室间隔缺损小儿，术后超早期拔管是安全的，有一定的经济效益。
목적：탐토소인단순방간격、실간격결손술후초조기발관적안전성화경제효익。방법선택50례단순방간격、실간격결손환인，안수궤수자표법분위량조，매조25례，Ⅰ조초조기발관조（수술실내발관혹자술후1 h내발관），Ⅱ조위조기발관조（술후1～6 h내발관）。비교량조환인적일반자료、발관전후혈기분석、주원기간총비용、ICU정류시간、재차삽관솔급폐부병발증。결과량조발관후30 min혈기분석각지표、술후주원시간、재차삽관솔、저양혈증솔、폐부감염솔、지기관경련솔비교차이무통계학의의（ P＞0.05）。Ⅰ조ICU정류시간、주원기간총비용교Ⅱ조소，차이유통계학의의（ P＜0.01）。결론대우단순방간격、실간격결손소인，술후초조기발관시안전적，유일정적경제효익。
atrial septal defect ( ASD) or ventricular septal defect ( VSD) after open heart surgery .Methods Fifty cases of chil-dren with ASD or VSD were randomly divided into two groups , very early extubation group ( group Ⅰ, n=25 ) and traditional eary extubation group ( group Ⅱ, n=25 ) .The two groups were compared with data on ICU observing time, hospitalization costs , blood gas analysis after tracheal extubation and pulmonary complications .Results Blood gas analysis at the 30th min after tracheal extubation in group Ⅰwas similar to that in group Ⅱ(P>0.05).There were no significant differences between the two groups on the data on the rate of eintubation , time of postoperative hospital stay , pulmonary complication ( P>0.05 ) .The length of ICU stay and hospitalization costs in group Ⅰwere significantly less than those in groupⅡ( P<0.05 ) .Conclusion Very early extubation in children with ASD or VSD after open heart surgery is safe and economical .