摘要
目的介绍婴幼儿复杂先天性心脏病围术期处理经验。方法本组82例，年龄11个月～3岁（平均2．3±0．5岁），体重6．5～16k．g（平均11．7±2．4kg）。病种包括法洛四联症63例，右心室双出口5例，肺静脉畸形引流4例，其他病变10例。根据心脏病变情况施行矫治术。结果术后16例（19．5％）出现并发症，其中7例（8．5％）分别死于多系统器官功能衰竭、心力衰竭、呼吸功能衰竭、低心排出量综合征、恶性心律失常及肾功能衰竭，其余患儿康复出院。结论妥善的围术期处理，有利于婴幼儿复杂先天性心脏病患儿手术后顺利恢复。
Objective This paper is to summarize the experience of perioperative management of complicated congenital heart defects in Infants. Methods 82 Infants with complicated congenital heart defects underwent surgical repair. The age ranged from 11 months to 3 years （average 2.3 ± 0.5 years）. The weight ranged from 6.5 to 16Kg （average 11. 7 ±2.4Kg）. Cardiac defects included 63 Fallot＇s Tetralogy, 5 double-outlet of right ventricle, 4 anomalous pulmonary venous and 10 other defects. Results Complications occurred in 16（19.5） cases after operation, and ？（8.5） cases dead of multiple system organ failure ,heart failure, respiratory function failure, low heart output syndrome, malignant arrhythmia and renal failure. Conclusion Proper perioperative management of complicated congenital heart defects in Infants can reduce the operative mortality and morbidity.
出处
《医学信息（手术学分册）》
2006年第1期22-24,共3页
Medical Information Operations Sciences Fascicule
关键词
婴幼儿
复杂畸形
先天性心脏病
围术期
Infant
Complicated defect
Congenital heart disease
Peri-operation
