探讨不同阶段小儿先天性心脏病患儿的术后监护及预后  

To Investigate the Postoperative Monitoring and Prognosis of Children With Congenital Heart Disease in Different Stages

作　　者：刘学兰[1] 尉新华[1] 范顺阳[1] 张金涛[1] 华影[1] 李群[1] 

机构地区：[1]郑州大学第三附属医院心脏中心,450052

出　　处：《中国继续医学教育》2016年第5期68-69,共2页China Continuing Medical Education

摘　　要：目的研究不同阶段小儿先天性心脏病患儿的术后监护状况及预后。方法选取2013年3月-2015年3月我院接诊的120例小儿先天性心脏病患儿进行研究。设定2013年3月-2014年3月接诊的患儿为对照组,2014年3月-2015年3月接诊患儿为观察组。对两组患儿手术后进行监护,并对预后状况进行记录分析。结果术后监护结果显示,两组患儿的年龄、性别、体重等一般资料差异无统计学意义（P〉0.05）;观察组患儿的监护时间7 d以上及插管时间72 h以上者多于对照组（P〈0.05）;低心排综合征、呼吸功能不全、感染及再插管率低于对照组,两组比较差异有统计学意义（P〈0.05）。结论低心排综合征、呼吸功能不全、感染及再插管是小儿先天性心脏病患儿术后在监护室内滞留的主要原因,对这些预后状况进行严密监测预防,是改善患儿预后的重要措施。Objective To study the postoperative monitoring and prognosis of children with congenital heart disease in different stages. Methods 120 cases of children with congenital heart disease were studied from March 2013 to March 2015 in our hospital. From March 2013 to March 2014 were set as the control group, children in the observation group in March 2014 to March 2015. The status of the two groups of children were monitored, and the prognosis was recorded and analyzed. Results Postoperative monitoring results show that two groups of children＇s age, gender, weight, and other general information without significant difference（P〈0.05）, observation group, the monitoring time 7 d above and intubation time more than 72 hours was significantly higher than that of the control group（P〈0.05）, low cardiac output syndrome, respiratory function not whole, infection and reintubation rate was significantly lower than that of the control group, two groups compared with statistical significance（P〈0.05）. Conclusion Low heart row syndrome, respiratory function, infection and re intubation is the main cause for pediatric congenital heart disease patients in ICU stay, the prognosis of prevention for close monitoring is an important measure to improve the prognosis of patients.

关 键 词：先天性心脏病 监护 预后 

分 类 号：R725[医药卫生—儿科]