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目的:总结婴儿先心病急症手术期处理经验。方法:回顾分析≤11个月危重先心病患儿26例,男17例,女9例;平均年龄6.7+3.73月;青紫型先心病6例,非青紫型先心病20例,内科治疗无效,经体外循环下手术25例,非体外循环下手术1例。结果:围手术期死亡2例,死亡率7.69%。术后在监护室监护时间6.75±5.22天,术后住院时间22.25±9.52d。术后并发症:低心排综合征2例,肺不张4例,气胸1例,术后出血1例,喉头水肺4例,除2例死亡外均治愈。结论:树立婴儿危重先心病急症手术的意识,掌握婴儿先心病急症手术方法,及早发现和正确处理并发症是提高手术疗效,降低围手术期死亡的关键。
OBJECTIVE: To summarize the experience in the treatment of acute congenital heart disease in infants. Methods: Retrospective analysis of ≤ 11 months in children with critical congenital heart disease in 26 cases, 17 males and 9 females; mean age 6.7 ± 3.73 months; 6 cases of cyanotic congenital heart disease, 20 cases of non-cyanotic congenital heart disease, medical treatment ineffective, 25 cases underwent cardiopulmonary bypass and 1 case under off-pump surgery. Results: Perioperative death in 2 cases, the mortality rate was 7.69%. Postoperative care guardianship time 6.75 ± 5.22 days, postoperative hospital stay 22.25 ± 9.52d. Postoperative complications: low cardiac output syndrome in 2 cases, atelectasis in 4 cases, pneumothorax in 1 case, postoperative bleeding in 1 case, laryngeal scalp in 4 cases, except for 2 cases of death were cured. Conclusion: Establishing the awareness of acute critical illness in infants with critical congenital heart disease. To master the emergency operation method for infant with congenital heart disease, early detection and correct treatment of complications is the key to improve the curative effect and reduce the perioperative mortality.