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为总结婴幼儿先心病围术期的处理经验 ,分析了 1995年 1月～ 1999年 10月 87例 3岁以下婴幼儿先心病临床资料。本组死亡 6例 (7 6 % ) ;术后并发症 18例 (2 3 1% )。充分做好术前准备 ,增强对手术的承受力 ,术后实施符合婴幼儿的机械通气 ,对合并中 -重度肺高压者采用适当过渡通气、呼气末正压通气、充分镇静等措施 ,对 10kg以下患儿采用快速脱机法 ,合理调整血容量 ,常规应用正性肌力药物辅助心功能。采用适合婴幼儿先心病的围术期处理可减少术后并发症 ,提高手术成功率。
To summarize the experience of perioperative management of infants and young children with CHD, clinical data of 87 infants with CHD under 3 years old from January 1995 to October 1999 were analyzed. The group died of 6 cases (76%); postoperative complications in 18 cases (23%). Fully preoperative preparation to enhance the bearing capacity of surgery, the implementation of mechanical ventilation in line with infants and young children after surgery, moderate to severe pulmonary hypertension in patients with appropriate transitional ventilation, positive end-expiratory ventilation, adequate sedation and other measures, 10kg following children with rapid offline method, reasonable adjustment of blood volume, routine use of inotropic drugs to assist heart function. Perioperative treatment of congenital heart disease in infants and young children can reduce postoperative complications and improve the success rate of surgery.