低体重婴幼儿先心病体外循环预充液体管理  

CPB-prefilling management in low-weight children with congenital heart disease

作　　者：辛梅[1] 欧阳辉[1] 张近宝[1] 倪尔连 刘刚[1] 岳琴[1] 邬晓臣[1] 

机构地区：[1]成都军区总医院心胸外科,成都610083

出　　处：《西南国防医药》2012年第7期755-757,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的回顾性分析总结我院2011年75例10 kg以下低体重婴幼儿先天性心脏病手术体外循环预充管理。方法 75例均采用进口膜式氧合器(MAQUET 30000或10000)。据术前访视及相关检查结果制定合理预充方案。预充液体成分包括勃脉力、白蛋白、库血、碳酸氢钠及甘露醇等。转机开始后行静脉血血气分析,分析实测血细胞压积(HCT)。结果所有患儿转机后首次血气分析指标均正常。阻闭动脉前均未发生心律失常等并发症。结论低体重婴幼儿应尽量减少预充量,加强预充的管理,提高胶体渗透压,以利于病人术后恢复。Objective To retrospectively analyze and summarize the CPB - prefilling management in 75 children with the weight below 10 kg who received surgery on congenital heart disease in 2011. Methods Seventy five children aged from 1 to 24 months and weighted from 2.5 to 10 kg received open heart operation on congenital heart disease. Imported membrane oxygenate （ MAQUET 30000 or 10000 ） was used in all these cases. Reasonable prefilling plans were made according to preoperational interview and examination results. The ingredients of priming fluid included bomaili, albumin, banked blood, sodium bicarbonate, and manicol, etc. After the beginning of CPB, the blood gas analysis of venous blood and detection of HCT were carried out. Results The indexes of first blood gas analysis among those children after the beginning of CPB were all normal. Complications such as abnormality in heart rate didnt occurre before the obstruction of artery. Conclusion The prefilling volume of CPB in low - weight children should be minimized. The management of prefilling should be strengthened, and colloid osmotic pressure should be raised in order to i^prove the postoperative recovery of these patients.

关 键 词：体外循环 先天性心脏病 低体重婴幼儿 

分 类 号：R654.1[医药卫生—外科学]