5公斤以下婴幼儿先天性心脏病的体外循环管理  

Extracorporeal circulation management in infants weighted below 5 kg with congenital heart disease

作　　者：陈凤[1] 夏建海[1] 莫绪明[1] 王振喜[1] 顾海涛[1] 

机构地区：[1]南京医科大学附属南京儿童医院心胸外科,江苏南京210008

出　　处：《中国体外循环杂志》2010年第3期183-184,共2页Chinese Journal of Extracorporeal Circulation

摘　　要：方法总结我院自2007年1月至2008年12月5kg以下133例低体重婴幼儿先心病的体外循环(ECC)管理。结果 ECC时间13～382(55.72)min,主动脉阻断时间0～135(34.07)min,术后死亡3例,与ECC无直接关系。结论合理的预充,足够的流量灌注,行常规超滤和改良超滤,重视机体各脏器的保护,是5 kg以下婴幼儿ECC管理的确切有效方法。OBJECTIVE To explore the extracorporeal circulation（ECC） management in low weight infants with congenital heart disease.METHODS To summarize 133 cases weighted below 5kg with congenital heart disease from January 2007 to December 2008 in our hospital.RESULTS ECC time was 13-382 min（mean 55.72 min）,aortic cross-clamp time was 0-135 min（mean 34.07 min）,three infants died after operation,there did not directly relate with ECC.CONCLUSION Reasonable priming,perfusion flow rate,ultrafiltration technique and adequate myocardial protection were effective ways in extracorporeal circulation management of infants weighted below 5 kg with congenital heart disease.

关 键 词：婴幼儿 先天性心脏病 体外循环 

分 类 号：R726.5[医药卫生—儿科]