摘要
目的总结新生儿和婴幼儿先天性心脏病围手术期的监护及并发症处理经验。方法回顾性分析30例病情危重,或解剖复杂的先天性心脏病新生儿、婴幼儿行外科手术治疗围手术期的临床资料,分析患儿先天性心脏病的种类,手术年龄,手术方法,术后各种并发症及处理方法和治疗效果。结果7例出现较严重并发症,占23.3%(7/30);术中16例行超声心动图监测,其中12例行食道超声监测(体质量>5kg),4例行剑突下超声监测;所有患儿均康复出院。7例出现较严重并发症。结论强调新生儿、婴幼儿先天性心脏病外科手术围手术期的重要性,积极监测,及时处理各种并发症是取得治疗成功的关键。
Objectives To summarize the experience of perioperative therapy in newborn infants and infants with congenital heart disease. Methods We retrospectively analyzed the perioperative clinical data of 30 newborn infants and infants with congenital heart disease. We analyzed the types of the congenital heart disease, age at operation, operation methods, complications and outcomes. Results There were 7 infants occurred severe complication. The ratio was 23.3% (7 / 30); Sixteen infants were monitored by ultrasound cardiography. Among them, 14 infants with weight more than 5 kg were monitored by esophagus ultrasound and 4 infants of 16 were monitored by under ensiform appendix ultrasound; All infants were rehabilitation discharge. Conclusions Paying attention to the perioperative therapy in newborn infant and infant with congenital heart disease, monitoring actively and treating the complications in time are the key points to achieve a successful therapy.
出处
《岭南心血管病杂志》
2009年第4期281-283,共3页
South China Journal of Cardiovascular Diseases
关键词
心脏缺损
先天性
围手术期
新生儿
婴儿
超声心动图
congenital heart disease
perioperative period
newborn infant
infant
ultrasound cardiography
