论文部分内容阅读
目的探究新生儿危重先天性心脏病的手术治疗效果。方法选择我院2014年8月到2017年3月收治的60例危重先天性心脏病新生儿临床资料,全部患儿均在我院接受手术治疗,观察不同体重患者的手术结果、手术成功患儿术后的并发症及有无并发症患儿间主动脉阻断时间及术后住院时间。结果本次研究患儿的死亡率为3.33%,且体重<2.5kg患者的死亡率高于体重≥2.5kg的患儿(P<0.05);早产儿死亡率高于足月儿(P<0.05);58例存活患儿术后并发症发生率为15.52%,对症处理后均好转;有并发症患者的主动脉阻断时间和术后住院时间长于无并发症的患儿(P<0.05)。结论对于新生儿危重先天性心脏病应把握手术适应症、手术时机,根据患儿的病情特点合理选择手术方式,加强术后的监护和辅助治疗,减少并发症发生,提高存活率。
Objective To explore the surgical treatment of critically ill congenital heart disease in neonates. Methods The clinical data of 60 newborn infants with critical congenital heart disease admitted from August 2014 to March 2017 in our hospital were selected. All the children underwent surgical treatment in our hospital. The surgical results of different weight patients were observed. Postoperative complications and the presence or absence of complications in children with aortic cross-clamping and postoperative hospital stay. Results The mortality rate in this study was 3.33%, and the mortality rate in patients with body weight <2.5kg was higher than that in children with body weight≥2.5kg (P <0.05). The mortality rate in preterm infants was higher than that in term infants (P <0.05) ). The incidence of postoperative complications in 58 surviving children was 15.52%, which improved after symptomatic treatment. The aorta occlusion time and postoperative hospital stay in patients with complications were longer than those without complications (P0.05) . Conclusions For neonatal critical congenital heart disease should grasp the indications for surgery, the timing of surgery, according to the characteristics of children with a reasonable choice of surgical approach to strengthen postoperative care and adjuvant therapy to reduce the incidence of complications and improve survival.