小儿先天性心脏病术后非早期气管插管拔管的危险因素分析  

Analysis on Risk Factors for Non-early Tracheal Extubation in Children With Congenital Heart Disease After Surgery

作　　者：江毅[1] 

机构地区：[1]广西中医药大学附属瑞康医院心胸外科,广西南宁53000

出　　处：《中国继续医学教育》2016年第9期89-90,共2页China Continuing Medical Education

摘　　要：目的探讨小儿先天性心脏病术后非早期气管插管拔管的危险因素。方法回顾性分析150例先天性心脏病患儿的临床资料,分析非早期气管插管拔管的危险因素。结果患儿心脏是否严重畸形、是否合并肺动脉高压、手术时间、ACC时间、CPB时间以及术后是否出现并发症对患儿拔管时间有明显影响(P<0.05);多因素回归分析心脏严重畸形、合并肺动脉高压、术后并发症和CPB时间是非早期拔管的危险因素,且危险程度依次增强。结论心脏严重畸形、合并肺动脉高压、术后并发症和CPB时间是小儿先天性心脏病术后非早期气管插管拔管的危险因素。Objective To investigate the risk factors of non-early tracheal extubation in children with congenital heart disease after surgery. Methods The clinical data of 150 children with congenital heart disease were analyzed retrospectively, analysis the risk factors for non-early tracheal extubation. Results Cardiac malformations, combined pulmonary hypertension, operation time, ACC time, CPB time and complications were significantly affected by extubation time（P〈0.05）. Cardiac malformations, pulmonary hypertension, complications, and CPB were the risk factors forearly extubation, and the degree of risk was increased in turn. Conclusion Cardiac severe malformation, combined pulmonary hypertension, postoperative complications and CPB time are the risk factors of tracheal extubation in children with congenital heart disease after surgery.

关 键 词：小儿先天性心脏病 非早期 气管插管 拔管 危险因素 

分 类 号：R654.2[医药卫生—外科学]