婴幼儿先天性心脏病围手带期肺部并发症的护理  

Perioperative nursing of pulmonary complication for infants with congenital heart disease

作　　者：刘希伶[1] 秦继红[1] 姬尚义[1] 王小雷[1] 叶小青[1] 吴敏[1] 温定国[1] 

机构地区：[1]广东省深圳市孙逸仙心血管医院,518020

出　　处：《中国实用护理杂志（中旬版）》2010年第5期34-35,共2页Chinese Journal of Practical Nursing

基　　金：基金项目：深圳市科技计划项目（200507120906A）

摘　　要：目的探讨婴幼儿先天性心脏病（简称先心病）围手术期肺部并发症发生的相关因素；为提高婴幼儿先心病术后重症监护质量提供科学依据。方法对我市3家医院2005年3月至2007年5月225例婴幼儿先心病围手术期肺部情况进行跟踪性调查，对发生肺部并发症的各个环节：术前患儿肺部护理、术中的麻醉及体外循环（CPB）管理，以及术后监护等阶段，针对出现的问题，进行统计分析，总结相关因素及护理方法。结果225例患者均顺利通过手术，无严重并发症发生。结论减少肺部并发症的发生关键在于对围手术期各个环节有效的针对性治疗及护理。Objective To discuss related factors of perioperative pulmonary complications in infants with congenital heart disease and provide a scientific basis to improve the quality of intensive care in infants with congenital heart disease after surgery. Methods Tracking survey was carried out in 225 cases of infants with congenital heart disease in our city to observe the perioperative lung condition from March 2005 to May 2007. Every process that might occur pulmonary complications, such as preoperative care of children,anesthesia and cardiopulmonary bypass surgery （CPB） management and postoperative monitoring was closely observed. Statistical analysis was conducted according to emerging problems and summarized the relevant factors and nursing methods. Results 225 infant patients passed the operation with no serious complications. Conclusions Effective treatment and nursing during every process of perioperation was the key factor to reduce pulmonary complications.

关 键 词：婴幼儿 围手术期 肺部并发症 相关性研究 

分 类 号：R726.542[医药卫生—儿科]