| 摘要: |
| ［摘要］ 目的 总结婴儿体外循环心脏直视手术后肺部并发症的处置经验。方法 选择该院120例婴儿心脏术后出现肺部并发症的患儿，其中单纯肺不张患儿60例，予加强拍背、吸痰等处理；单纯气胸15例，予胸穿抽气治疗；急性肺损伤并肺部感染45例，给予恰当的机械通气、抗感染等综合治疗。结果 120例患儿死亡3例，余117例治愈出院。结论 加强肺部体位治疗，合理使用呼吸机、小潮气量的肺保护性通气策略，适当的呼吸末正压设置，积极抗感染、营养支持等有助于提高心脏术后肺部并发症的治愈率。 |
| 关键词: 婴儿 心脏直视手术 肺部并发症处置 |
| DOI：10.3969/j.issn.1674-3806.2016.11.19 |
| 分类号:R 726.1 |
| 基金项目: |
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| Management of pulmonary complications after cardiopulmonary bypass in infants undergoing open heart surgery |
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ZHANG Hong, CAO Xin, YOU Guo-zhou
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Department of Thoracic and Cardiovascular Surgery, Kunming Children′s Hospital, Yunnan 650228, China
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| Abstract: |
| ［Abstract］ Objective To summarize the experience in the treatment of pulmonary complications after cardiac surgery in infants.Methods The clinical data of 120 infants with pulmonary complications after cardiac surgery in our hospital were retrospectively analysed. Slapping back to excretory sputum was performed on 60 cases who were complicated with simple pulmonary; 15 cases were simple pneumothorax and performed thoracentesis; 45 patients with emerged acute lung injury were given comprehensive proper mechanical ventilation, anti infection and so on.Results Three cases died in 120 cases. One hundred and seventeen cases were recovered and discharged from hospital without complications.Conclusion The comprehensive treatment measures, including reasonable use of ventilator, low tidal volume of lung protective ventilation strategy, setting proper peep, postural therapy, proper anti infection and nutrition support, help to cure the pulmonary complications after cardiac surgery in infants. |
| Key words: Infants Cardiac surgical procedures Treatment of pulmonary complications |
