婴儿重症先天性心脏病术后监护  

Postoperative care in infants with congenital heart disease

作　　者：朱希燕[1] 张海燕[1] 刘庆利[1] 顾潇[1] 张荣泽[1] 

机构地区：[1]河北医科大学第四医院胸心外科,050011

出　　处：《护理实践与研究》2008年第5期1-3,共3页Nursing Practice and Research

摘　　要：目的：总结我院近两年完成的107例婴儿重症先天性心脏病根治术的术后监护经验。方法：回顾性分析：总结2005年5月-2007年7月在我院手术治疗的107例婴儿重症先天性心脏病的术后监护措施，并分析这些措施的效果。结果：本组患儿死亡3例，死亡率为2．80％：术后并发症33例，包括低心排、心律失常、肺部感染等。结论：婴儿重症先天性心脏病早期手术同样可以取得满意的临床效果，呼吸系统并发症是我们监护中面临的主要问题，低心排综合征是患儿死亡的主要原因。根据其生理特点进行呼吸系统、循环系统、引流管等监护，是有效降低术后并发症，提高手术成功率和治愈率的关键。Objectlve：To review the experience of postoperative care in infants with congenital heart disease. Method：Retrospectively analyse what measures have been taken to postoperate care the 107 infants with congenital heart disease between July2005 and May2007 in our hospital, and analyse the results. Results： Out of all patients,3 cases died with death rate of 2.80% ,and 33 cases suffered from complications, including low output cardiac syndrome （LOCS） ,arhythmia, pulmonary infection , etc. Conclusion ：The results of total repair for infants with congenital heart disease are satisfactory. The mortality is similar to that of patients older than 1 year. ARDS is still one of the most common complications we should deal with, LOCS was the main cause of mortality. According to the physiological features of infants with congenital heart disease,good postoperative care can effectively reduce complications, and it is key to increasing the ratio of surgery.

关 键 词：婴儿 先天性心脏病 低心排综合征 术后监护 

分 类 号：R473.72[医药卫生—护理学]