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目的探讨婴幼儿体外循环管理。方法 50例婴幼儿在体外循环下行外科矫治术。对我院2010年1月至2010年12月期间内50例婴幼儿先心病临床资料(年龄、性别、体重、手术类型)和CPB情况(CPB设备、预充液组成、升主动脉阻断时间等)做一回顾性分析。结果全部患者体重3.5～11.5(7.5)kg,年龄3～50(26.5)m。本组男27例,女23例。CPB转流时间20～130min,主动脉阻断时间10～70min,所有患儿都顺利完成手术,本组有2例患儿死亡。结论婴幼儿体外循环管理应尽量减少预充量,积极排出体内多余水分,良好的体外循环管理和重视心肺功能的保护是确保体外循环成功的关键。
Objective To investigate the management of infantile cardiopulmonary bypass. Methods Fifty infants underwent surgery under cardiopulmonary bypass. The clinical data (age, gender, weight, type of surgery) and CPB in 50 infants with CHD in our hospital from January 2010 to December 2010 (CPB equipment, priming fluid composition, ascending aorta occlusion time Etc.) to do a retrospective analysis. Results All patients weighed 3.5 to 11.5 (7.5) kg and aged 3 to 50 (26.5) m. The group of 27 males and 23 females. CPB shunt time 20 ~ 130min, aortic cross-clamping time 10 ~ 70min, all children were successfully completed the operation, 2 patients died in this group. Conclusion The management of cardiopulmonary function should be minimized in infants and young children with extracorporeal circulation. Excess water should be actively excreted, and good cardiopulmonary bypass management and cardiopulmonary function are the keys to ensure the success of cardiopulmonary bypass.