摘要
目的:总结婴幼儿先天性心脏病(简称先心病)(congenital heart disease,CHD)围手术期的肺部管理经验。方法:对我院收治的212例婴幼儿CHD围手术期肺部管理的临床资料进行回顾性分析。术前控制肺部感染,必要时给氧;术中加强肺部保护;术后予呼吸机辅助呼吸,促进心肺功能的恢复,预防肺部并发症。结果:208例患儿均通过手术顺利出院,死亡4例。30例出现肺部并发症,其中肺不张14例,肺部感染9例,胸腔积液7例。再次气管插管3例。结论:围手术期肺部管理是婴幼儿CHD围手术期的关键环节,重视和加强肺部管理,可减少和预防肺部并发症,提高手术存活率,改善和提高患儿预后。
Objective：To summarize the experience of perioperative pulmonary management in infants with congenital heart disease（CHD）.Methods： The clinical data regarding perioperative pulmonary management were reviewed in 212 infants with CHD undergone treatment in our hospital.Generally,the patients were undergone prevention of lung infection before operation,with necessary oxygen supply.Pulmonary protection was emphasized during the operation.After operation,mechanical ventilation was performed to assist the respiration to improve the recovery of myocardial and pulmonary function and to prevent the complications.Results： Of the 212 cases,208 were recovered and discharged at due time except for 4 deaths.Complications of the lung occurred in 30 cases,in which 14 were atelectasis,9 pulmonary infection,7 pleural effusion.Three cases required second treatment of tracheal cannula.Conclusion： Well planned perioperative pulmonary management for the infants with CHD can ensure successful surgery by reducing the complications but increasing the survival rate and improving the prognosis.
出处
《皖南医学院学报》
CAS
2012年第5期391-394,共4页
Journal of Wannan Medical College
关键词
婴幼儿
先天性心脏病
围手术期
肺部管理
infants
congenital heart disease
perioperative period
pulmonary management
