婴幼儿心脏不停跳和停跳心内直视手术的临床对比  

Clinical comparison of beating-heart and arrested-heart intracardiac procedure in pediatrics

作　　者：吴军[1] 何巍[2] 冯旭[2] 

机构地区：[1]广西南宁广西中医学院第一附属医院心胸外科,530023 [2]广西医科大学第一附属医院心胸外科

出　　处：《心肺血管病杂志》2011年第6期532-534,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:比较浅低温心脏不停跳和中低温停跳技术,在婴幼儿心内直视手术的应用。方法:分析56例3岁以下心脏手术患者,将其分为停跳组(组Ⅰ)26例和不停跳组(组Ⅱ)30例。比较2组患者的体外循环(CPB)时间、手术时间、术后呼吸机辅助时间、术后低心排出量综合征(低心排)发生率等指标。结果:不停跳组患者的体外循环时间和手术时间均较停跳组短(P<0.01),并且术后呼吸机辅助时间、术后住院时间较停跳组短(P<0.05);不停跳组患者术后低心排发生率和严重心律失常发生率,均较停跳组低(P<0.05)。结论:表明浅低温体外循环心脏不停跳,可作为一项安全、有效的技术应用于婴幼儿先天性心脏畸形的矫治。Objective：To compare the effects of mild hypothermia beating-heart cardiopulmonary bypass（CPB） with those of moderate hypothermia arrested-heat CPB in pediatric intracardiac procedure.Methods：56 patients whose age were under 3 years underwent open heart surgery.They were divided to group 1,26 patients underwent arrested-heart operation,and group 2,30 patients underwent beating-heart operations.Duration of CPB and surgery,postoperative mechanical respiratory assistance duration and incidence of low cardiac output,ect,were compared between the tow groups.Results：Duration of CPB and operative duration in group 2 were shorter than those in group 1（P〈0.01）,and postoperative mechanical respiratory assistance duration was shorter in group 2.The incidence of low cardiac output syndrome and serious cardiac arrhythmia in group 2 was lower than those in group 1,and postoperative residential duration was shorter in group 2.Conclusion：The mild hypothermia beating-heart CPB is a safe abd effective technique applied to pediatric cardiac surgery.

关 键 词：心脏不停跳 心脏停跳 体外循环 婴幼儿 先天性心脏病 

分 类 号：R541.1[医药卫生—心血管疾病]