婴幼儿心脏直视术后再次气管插管危险因素分析  

Analysis of risk factor of reintubation in cardiac post-operative children

作　　者：卫向阳[1] 孙英民[1] 宋志斌[1] 张宪芬[1] 

机构地区：[1]河南科技大学第一附属医院心脏外科,洛阳市471000

出　　处：《中国心血管病研究》2013年第3期213-215,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的分析婴幼儿心脏直视术拔除气管插管后再次插管的原因及危险因素，为临床婴幼儿心脏术后撤机拔管提供参考依据。方法2005年4月至2012年5月期间，共施行婴幼儿心脏外科手术906例，其中30例患儿再次行气管插管。分别给患儿性别、年龄、体重、手术时间、术后拔管时间、体外循环时间、拔管时液体平衡情况、术后心脏杂音、拔管时中心静脉压、拔管后精神状况赋值，运用logistic回归分析法，计算各变量的回归系数、优势比，计算出回归方程，对回归方程进行检验，筛选出危险因素。结果拔管时间超过4h、体外循环时间〉100min、术后心脏杂音、拔管时中心静脉压高、精神状况不佳为再次气管插管的危险因素。结论充分评估危险因素，能正确指导婴幼儿心脏外科术后成功撤机，避免再次气管插管。Objective To determine the cause and the risk factor of reintubation in cardiac post-operative children. Methods From April 2005 to May 2012, 30 patients of 906 cardiac post-operative children were reintubation, they were analyzed with logistic regression according sex, age, weight, operative duration, extubation time from post-operative time, cardio-pulmonary bypass （CPB） duration, water balance, cardiac murmur of post-operative time, center venous pression of extubation time, mind state. Results Extubation time from post-opera- tive time, cardio-pulmonary bypass （CPB） duration, cardiac murmur of post-operative time, center venous pression of extubation time, mind state were risk factor in reintubation patients. Conclusion Accessing the risk factor correctly can guide young children weaning off and avoid reintubation.

关 键 词：危险因素 气管插管 婴幼儿 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学]