摘要
目的:探讨婴儿左向右分流先心病(CHD)合并肺动脉高压(PH)的围术期处理。方法:本组35例左向右分流CHD合并PH患儿,年龄2～12个月,其中心脏直视手术28例。手术前、中、后积极采用各项治疗措施,合理运用呼吸机、扩张肺血管药、膜肺、超滤,动态监测肺动脉压、加强呼吸道管理等。结果:34例顺利度过手术危险期,恢复良好。死亡1例,占2.9%。结论:早期手术,围术期注重综合处理,保护肺等重要器官的功能,防治PH及危象可获得满意的疗效。
Objective To explore perioperation management of left to right shunt congenital heart disease with pulmonary hypertension in infant.Methods On thirty-five patients with a rang of 2～12 months,performed cardiac surgical procedures and implemented comprehensive measures such as appropriate application of ventilation support,pulmonary vasodilator and membrane oxygenator ,ultrafiltration,dynamic monitor of pulmonary pressure and administration of respiring way and etc,at three intervals. Twenty-eight of them were treated with open heart surgery. Result One patient died after the operation with a mortality of 2.9%. This dangerous period were passed safely in the remaining thirty-four cases,who had recovered smoothly. Conclusion Paying attention to early repair of heart defects,improving treatment on protecting function of important organs, such as lung,and preventing pulmonary hypertension and its crisis could help us achieve a better outcome during the perioperating period.
出处
《安徽卫生职业技术学院学报》
2004年第3期12-14,共3页
Journal of Anhui Health Vocational & Technical College
关键词
婴儿
先心病
肺动脉高压
围术期处理
infant
congenital heart disease
pulmonary hypertension
perioperation management
