10kg以下婴幼儿体外循环中液体出入量的管理  

Management of fluid balance during cardiopulmonary bypass for infants weighted below 10kg

作　　者：翁丽芳[1] 谢少波[1] 陈升恺[1] 方剑[1] 黄珠群[1] 

机构地区：[1]广东省中医院珠海医院,广东珠海519000

出　　处：《海南医学》2008年第12期105-107,共3页Hainan Medical Journal

摘　　要：目的总结33例10kg以下婴幼儿的体外循环(CPB)中液体出入量的管理体会。方法对我院2007年9月至2008年9月收治的33例10kg以下婴幼儿先心病手术的临床资料进行回顾性分析。结果全组病例均在全麻CPB下行心内直视手术,CPB时间17～178min,主动脉阻断时间6～86min,不停跳心内直视术2例,33例顺利脱机,术后无一例与CPB相关的严重并发症。围术期死亡2例。结论在CPB管理上注重合理选用CPB设备和装置、特别关注灌注与引流的关系、调整适度的血液稀释及细致的CPB监测管理,加强了CPB中各种液体出入量的平衡的管理,可降低与CPB直接相关的并发症与死亡率。Objective To summarize the management of the fluid balance in cardiopul monary bypass（CPB） for 33 cases of infants weighted below lOkg. Methods The clinical data of 33 infants who were weighted below 10kg with congenital heart disease were retrospectively analyzed. Results All of the eases were under went open heart surgery of cardiopulmonary bypass under general anesthesia. CPB time ranged from 17 to 178min. Aortic cress-clamping time ranged from 6-86 min. 2 eases were carried out on beating heart. All the cases were successfully weaned from CPB machine. No severe complications associated with CPB occurred, 2 cases died in postopertion. Conclusion The complications and death rate associated with CPB can be reduced in these ways： Select suitable equipments in management of CPB. Pay special attention to the relationship between pedusion and drainage, and to the adjustment for moderate hemodilution, and to carefully management and to precise monitoring and management of CPB. Strengthen the management of fluid balance during CPB.

关 键 词：体外循环 婴幼儿 血液稀释 

分 类 号：R472[医药卫生—护理学]