先天性心脏病术后并发膈肌麻痹的危险因素分析

目的探讨先天性心脏病术后并发膈肌麻痹的危险因素,为及时诊断提供参考。方法回顾性分析先天性心脏病术后并发膈肌麻痹的51例患儿的临床特点及其发生膈肌麻痹的危险因素。结果发生膈肌麻痹患儿51例,发生率为0.73%,29例顺利撤离呼吸机,22例反复撤离呼吸机失败行膈肌折叠术,3例死亡;膈肌麻痹的危险因素包括年龄和手术方式。结论先天性心脏病手术并发膈肌麻痹诊断相对困难,受患儿年龄和手术方式的影响,护士应提高识别心脏病术后膈肌麻痹的临床症状的能力,减少对膈肌麻痹诊断的延误。

Analysis of the risk factors of diaphragmatic paralysis after congenital heart defects surgery

Objective To explore the risk factors of diaphragmatic paralysis after congenital heart defects surgery and provide the reference for the timely diagnosis. Methods The clinic features and risk factors of 51 diaphragmatic paralysis patients after congenital heart defects surgery were retrospective analyzed. Results Of the 51 patients,29 cases weaned from mechanical ventilation successfully,22 cases repeatedly failed to wean and recived diaphragmatic plication at last,3 cases died. The incidence of diaphragmatic paralysis was 0.73 %. The risk fators included age of surgery and surgical approach. Conclusion It is difficult to diagnosed diaphragmatic paralysis after cardiac surgery and influcend by age of the child and the surgical approach. Nurses should improve their awareness of identifying the clinical features of diaphragmatic paralysis, so as to decrease the delay in diagnosis of diaphragmatic paralysis.