婴幼儿心内直视手术围术期处理

目的：探讨婴幼儿体外循环心内直视手术的围术期处理及效果。方法：回顾性分析了206例实施心内直视手术婴幼儿的临床资料，年龄 20 d～3岁，体质量3～18（9.60±2.75）kg；非紫绀型心脏病149例，紫绀型先心病57例；206例中2例行姑息性手术，204例行根治手术。结果：全组病人术后死亡10例，死亡率4.85%；术后出现并发症28例,发生率为13.6%。结论：婴幼儿先天性心脏病应把握好手术时机尽早治疗；提高手术及体外循环技术，加强术后呼吸和循环系统管理，注意重要器官的保护和营养支持是婴幼儿心脏手术成功的保证。

Peri-operative management of infants undergoing open heart surgery

ObjectiveTo summarise the experience of peri-operative management of infants undergoing open heart surgery.MethodsClinical data of 206 infants undergoing open heart surgery were analyzed retrospectively.The patients aged from 20 days to 3 years.The weight was 3~18(9.60±2.75)kg.Altogether 149 patients were found non-cyanotic and 57 with cyanotic heart diseases.Radical operation was performed on 204 patients with the exception of two by palliative operation.ResultsThe mortality was 4.85%(10/206) and the incidence of early complications was 13.6%（28/206）. ConclusionEarly surgical treatment was crucial to infants with congenital heart disease at an appropriate time.To improve the operative and CPB techniques, to strengthen the management of postoperative respiratory and circulatory system, attention to the protection of vital organs, and nutrition support for infants are all keys to the success of heart surgery.