小儿先天性心脏病介入治疗术中并发症与麻醉安全性的相关分析  

Study of the correlation between intraoperative complications during transcatheter closure in children with congenital heart diseases and anesthesia safety

作　　者：宋铁鹰[1] 孟香果[1] 朱宇翔[1] 高秀江[2] 王军[3] 王姝媛 

机构地区：[1]河北省石家庄市第一医院麻醉科,050011 [2]河北医科大学第一医院麻醉科 [3]河北医科大学第一医院心脏外科 [4]北京军区和平医院麻醉科

出　　处：《河北医药》2008年第2期146-148,共3页Hebei Medical Journal

基　　金：河北省科学技术研究与发展计划项目(编号:06276163)

摘　　要：目的从麻醉角度分析先天性心脏病(先心病)介入治疗患儿术中的严重并发症和麻醉方法,提出防治措施。方法回顾性分析2645例中发生并发症的211例患儿在介入治疗术中的并发症类型、发生率、死亡原因及防治等,并对不同麻醉方法进行总结。结果术中并发症总发病率为7.99%,有关的麻醉高危因素致病93例,占总并发症的44.08%,其余与心血管相关的占45.97%,总病死率为0.11%。结论选择适合的麻醉方法、麻醉药物、有效的监测和正确的麻醉管理可减少先心病介入治疗术中的严重并发症。Objective To investigate the correlation between intraoperative complications during transcatheter closure in children with congenital heart diseases and anesthesia safety and to prefer the measure of prevention and cure. Methods The data in 211 children with complications enrolled from September 2003 to October 2007 including complication types during transcatheter closure, incidence, cause of death and preventive procedure were retrospectively analyzed. Results The total incidence of complications was 7.99%, there were 93 cases whose high risks were related with anesthesia, which accounted for 44.08% of total complications. The other complication rate related with heart was 45.97%, the mortalitywas 0. 11%. Conclusion To choose suitable anesthetization and anesthetics, and effective monitoring as well asright anesthesia management could reduce severe intranperative complications during transcatheter closure in children with congenital heart diseases.

关 键 词：心脏病 先天性 介入 并发症 麻醉 安全性 

分 类 号：R540.45[医药卫生—心血管疾病] R719.8[医药卫生—内科学]