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目的探讨床边摄片对婴幼儿先天性心脏病(先心病)术后并发症诊断的意义。方法选取我院小儿心胸外科收治的先心病术后行床边摄片的婴幼儿80例,男42例,女38例,年龄2d~6岁。患儿均在低温体外循环下实施心脏直视手术,术后带气管插管入心胸重症监护病房,2h内行床边摄片。分析先心病术后胸片的异常表现。结果 80例中,肺部感染22例;胸腔积液12例,其中双侧胸腔积液4例;肺不张5例;气胸3例,压缩率15%~50%;肺水肿5例;肺出血10例;肺部未见明显异常23例。结论婴幼儿先心病术后应及时床边摄X射线片,以明确术后有无并发症的发生,有助于应用综合治疗措施,提高术后患儿生存率。
Objective To explore the significance of bedside radiography in the diagnosis of postoperative complications in infants with congenital heart disease (CHD). Methods 80 cases of infants and children with bedside radiographs, 42 males and 38 females, aged from 2d to 6 years, were enrolled in this study. Children underwent hypothermic cardiopulmonary bypass surgery, postoperative tracheal intubation into the ICU intensive care unit, 2h bedside radiography. Analysis of chest X-ray abnormalities after surgery. Results In 80 cases, there were 22 cases of lung infection, 12 cases of pleural effusion, 4 cases of bilateral pleural effusion, 5 cases of atelectasis, 3 cases of pneumothorax, compression rate of 15% ~ 50%, pulmonary edema in 5 cases, lung Bleeding in 10 cases; no obvious lung abnormalities in 23 cases. Conclusion Infants with congenital heart disease should be timely bedside X-ray films to determine whether the occurrence of postoperative complications, help to apply comprehensive treatment measures to improve the survival rate of children after surgery.