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目的:了解长春地区先天性心脏病的发病特点,分析影响手术效果的因素。方法:对2004年1月1日至2010年12月31日长春市儿童医院心胸外科收治的287例先天性心脏病患者的临床资料进行回顾性分析。结果:①未能确定体重是影响先天性心脏病患者术中循环时间和主动脉断流时间的因素。②尽量缩短体外循环时间和主动脉断流时间有助于降低死亡率。结论:术中尽量缩短体外循环时间和主动脉阻断时间,采取保护心肌措施,减少心脏缺血再灌注损伤。操作应精细,尽量减少手术操作对心肌的损伤;术后注意防治呼吸道并发症、低心排出量综合征和肺动脉高压危象,维持电解质和营养平衡,尽量减少患者的死亡率。
Objective: To understand the incidence of congenital heart disease in Changchun, analyze the factors that affect the effect of surgery. Methods: The clinical data of 287 patients with congenital heart disease admitted to Department of Cardiothoracic Surgery, Children’s Hospital of Changchun from January 1, 2004 to December 31, 2010 were retrospectively analyzed. Results: (1) Failure to determine body weight is a factor influencing intraoperative circulation time and aortic disconnection time in patients with congenital heart disease. ② try to shorten the time of extracorporeal circulation and aortic disconnection time will help reduce mortality. CONCLUSION: Intraoperative cardiopulmonary bypass time and aortic cross-clamping time should be shortened as much as possible. Cardioprotection should be taken to reduce the cardiac ischemia-reperfusion injury. The operation should be fine, to minimize the surgical operation of myocardial injury; postoperative attention to prevention and treatment of respiratory complications, low cardiac output syndrome and pulmonary hypertension crisis, maintain electrolyte and nutritional balance, minimize patient mortality.