摘要
目的总结48例婴幼儿心内直视手术心肺转流(CPB)的管理方法。方法回顾分析48例体重<15 kg先天性心脏病婴幼儿的CPB资料。均在全麻体外循环下行心内直视手术;术中监测并记录循环、呼吸生命指征,体温、尿量、电介质及酸碱平衡,调节引流、灌注以及血液的稀释与浓缩。结果48例患儿手术经过基本平顺,未发生与体外循环相关的严重并发症;术后死亡4例(8.33%)。结论婴幼儿体外循环应采用高流量灌注,使用膜肺,注意心肌、肺、肾和脑的保护,加强各项指标的监测与调整。
Objective To summarize the management of extracorporeal circulation for 48 infants with congenital heart disease. Methods The data of 48 infants with body weitht less than 15 kg underwent open heart surgery under extracorporeal circulation were retrospectively analyzed. The circulatory and respiratory vital sighns, body temperature, urine output, electrolytes and acid-base balance were mornitored and recorded, and the drainage and perfusion, and dilution and concentration of blood were regulated. Results The operations of all 48 cases were uneventful, and no severe complications associated with extracorporeal circulation occurred. There were four postoperative death cases with a mortality of 8.33%. Conclusion Extracorporeal circulation in infants should be performed with high-flow perfusion and use pulmotor, and attention should be paid to careful mornitoring and protecting the myocardium, lungs, kidney and brain. These are of valuable to decrease the complication and mortality associated with extracorporeal circulation in infants with congenital heart deseases.
出处
《江苏医药》
CAS
CSCD
北大核心
2008年第10期1013-1014,共2页
Jiangsu Medical Journal
