论文部分内容阅读
目的:探讨小儿复杂性心脏病心力衰竭的临床诊治过程。方法:对2011～2012年我院收治的32例复杂性心脏病心力衰竭患儿采取分期手术治疗。结果:27例患儿症状得到控制,5例未控制,其中,2例转小儿监护病房继续治疗,l例转上级医院继续治疗,余2例患儿家属因经济原因放弃治疗。结论:小儿心力衰竭以血流动力异常为特征,是一种由神经体液系统失衡、心脏及外周血管内皮功能障碍和细胞因子活性增高等因素所控制的综合征。其可使心排出量不能满足全身组织代谢所需的状态,是小儿期常见的急症。该病以先天性心脏病(简称先心病)为重要病因,且病情变化迅速.如不及早处理,常危及患儿生命。
Objective: To investigate the clinical diagnosis and treatment of heart failure complicated by heart disease in children. Methods: From 2011 to 2012, 32 children with complicated heart disease and heart failure admitted to our hospital were treated with staging surgery. Results: The symptoms of 27 children were controlled and 5 cases were uncontrolled. Among them, 2 cases were transferred to pediatric intensive care unit for further treatment. One case was transferred to the superior hospital for further treatment. The remaining 2 cases were given up for economic reasons. CONCLUSION: Heart failure in children is characterized by hemodynamic abnormalities and is a syndrome controlled by imbalances in the neurohumoral fluid system, dysfunction of the heart and peripheral vascular endothelium, and increased cytokine activity. It can make cardiac output can not meet the needs of the state of systemic tissue metabolism, is a common childhood emergency. The disease with congenital heart disease (referred to as congenital heart disease) as an important cause, and rapid changes in condition, if not treated, often endanger the lives of children.