论文部分内容阅读
目的探讨婴幼儿室间隔缺损合并重症肺炎的治疗经验。方法回顾性分析我院2014年1月至2015年4月收治的1岁以下室间隔缺损合并肺炎行呼吸机辅助的患儿30例(试验组)的临床资料,其中男16例、女14例,年龄0.9~12.0(4.6±2.9)个月,体质量3.0~8.8(5.6±1.4)kg,行亚急症手术治疗。同期未合并呼吸道感染的室间隔缺损患儿30例(对照组),其中男10例、女20例,年龄0.7~19.0(4.9±4.8)个月,体质量2.6~12.0(5.8±2.1)kg,行择期手术治疗。比较两组院内死亡率、心脏重症监护室(CICU)滞留时间、住院时间等。结果试验组术后死亡1例,对照组无死亡患儿。试验组总住院时间[(15.73±6.44)d vs.(10.16±2.16)d,P=0.002]、术后呼吸机辅助时间[(28.00±15.72)h vs.(12.17±9.10)h,P=0.000]比对照组延长,差异有统计学意义。两组主动脉阻断时间、体外循环时间、监护室滞留时间差异无统计学意义(P>0.05)。两组患儿均门诊随访6个月,患儿肺炎发病率减低,生长发育状况、活动耐量明显改善。结论婴幼儿室间隔缺损合并重症肺炎,术前应积极呼吸机辅助呼吸改善心功能、肺功能,及时行手术治疗,尽管住院时间略长,但整体效果满意。
Objective To investigate the treatment experience of infantile ventricular septal defect with severe pneumonia. Methods The clinical data of 30 patients (experimental group) with ventricular septal defect and pneumonia admitted to our hospital from January 2014 to April 2015 in our hospital were retrospectively analyzed. There were 16 males and 14 females (4.6 ± 2.9) months and body weight 3.0 ~ 8.8 (5.6 ± 1.4) kg, respectively. The patients were treated with sub-acute surgery. Thirty patients (20 males and 20 females) aged from 0.7 to 19.0 (4.9 ± 4.8) months and weight ranged from 2.6 to 12.0 (5.8 ± 2.1) kg were enrolled in this study. Thirty patients with ventricular septal defect without respiratory infection were enrolled in this study. , Line elective surgery. The in-hospital mortality, CICU stay, and hospital stay were compared between the two groups. Results The experimental group died of postoperative death in 1 case, while the control group had no death in children. The total length of hospital stay in the experimental group [(15.73 ± 6.44) d vs. (10.16 ± 2.16) d, P = 0.002], postoperative ventilator support time (28.00 ± 15.72 h vs. (12.17 ± 9.10) h, P = 0.000] than the control group extended, the difference was statistically significant. The aorta occlusion time, cardiopulmonary bypass time, and custodial stay time in two groups had no significant difference (P> 0.05). The two groups of children were outpatient follow-up of 6 months, children with reduced incidence of pneumonia, growth and development status, significantly improved activity tolerance. Conclusion Infantile ventricular septal defect with severe pneumonia, preoperative ventilator-assisted breathing should be to improve cardiac function, pulmonary function, timely surgical treatment, despite a slightly longer hospital stay, but the overall effect is satisfactory.