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目的 :报告一组 10公斤以下婴幼儿先天性心脏病进行体外循环心内直视手术后肺部并发症处理的临床经验。方法 :19例病儿在低温体外循环下进行了各种先天性心脏病的根治手术。其中 ,术后 12例出现了肺部并发症并用呼吸机辅助呼吸、抗感染、强心利尿和白蛋白脱水等综合治疗。结果 :全部治愈。术后随访心肺功能和生长发育正常。结论 :10公斤以下婴幼儿重症先天性心脏病应及早进行手术治疗 ,同时要控制手术风险和术后肺部并发症。
OBJECTIVE: To report the clinical experience of a group of infants with congenital heart disease under 10 kg following cardiopulmonary bypass after cardiopulmonary bypass. Methods: 19 cases of children underwent hypothermic cardiopulmonary bypass underwent a variety of radical surgery for congenital heart disease. Among them, 12 cases of postoperative pulmonary complications and ventilator-assisted breathing, anti-infective, cardiac diuretic and albumin dehydration and other comprehensive treatment. Result: All cured. Follow-up cardiopulmonary function and growth and development were normal. Conclusion: Severe congenital heart disease in infants under 10 kg should be treated surgically as soon as possible and at the same time to control the surgical risk and postoperative pulmonary complications.