摘要
【目的】探讨如何提高婴幼儿先天性心脏病(先心病)术后并发症的治愈率及降低术后死亡率。【方法】1997年7至2005年7月期间心胸外科术后监护室(CICU)<3岁的患儿资料33例。分成前9例,后24例两组,后组应用改进的监护常规和新医药,新技术。两组按例数,术后危及生命的严重并发症的治愈率、CICU死亡率、呼吸机使用时间、CICU滞留天数等进行比较。【结果】后组较前组例数增加了166.6%,CICU死亡率下降了25%(P<0.01),术后低心输出量综合征、心律失常、肾功能衰竭的治愈率分别提高了30%、100%、100%(P<0.05).呼吸机使用时间下降了33.3%,其中24小时拔管增加了近80%,CICU滞留天数下降了32.7%(P<0.05)。【结论】术后监护的日益规范和完善,新医药、新技术的推广应用,有助于提高婴幼儿先心病术后的生存率。
[Objective]To explore the way to improve the curative rate of critical complications＇and reduce the mortality rate of young infant with congenital heart defect （CHD）. [Methods]Thirty three patients with CHD were studied . All patients were divided into two groups： group Ⅰ （ n =9） as control, group Ⅱ （ n = 24） was the study one with improved management, using new drugs and new techniques . CICU stay was analyzed and compared . [Results]CICU mortality rate was reduced . The curative rate of postoperative low cardiac output, tachycardia and acute renal failure increased by 30%, 100%, 100% ,respectively （all P 〈0.05） . The time of intubation was reduced by 80 % , CICU stay was reduced by 32.7% （P〈0.05） versus the control group. [Conclusion] The survival rate of CHD in young infants can be improved with the improvement of intensive care and use of new medicines and new surgical techniques.
出处
《医学临床研究》
CAS
2006年第7期1036-1037,共2页
Journal of Clinical Research
