婴幼儿心脏直视手术的体外循环管理体会

体外循环是影响婴幼儿心脏直视手术近期效果的主要因素之一。报告近３年行婴幼儿心脏直视手术１０２例，死亡６例，另９６例中虽部分并发低心排出量综合征（ＬＣＯＳ）、急性呼吸窘迫综合征（ＡＲＤＳ）、急性肾功能衰竭（ＡＲＦ）及脑损害等并发症，但经救治均恢复正常。表明膜式氧合器的应用、合理的预充和血液稀释、科学的体外循环管理、适当的温度控制及有效的心肌保护措施，对减少婴幼儿体外循环术后并发症、降低死亡率具有重要

Cardiopulmonary Bypass Management in Infants and Children Undergoing Open Heart Procedure

Cardiopulmonary bypass(CPB)is the main factor affecting short term results of infants and children underwent open heart procedure 102 cases infants and children who accepted open heart procedure with CPB have been studied retrospectively 6 cases of them had been dead,the rest recovered completely,though some of them complicated with low cardiac output syndrome(LCOS),acute respiratory distress syndrome(ARDS),acute renal failure(ARF)and various degree cerebral injury From those results we concluded that the use of membrane oxygenator,rational priming,moderate dilution of blood,scientific management of CPB,properly adjusting of body temperature and effective measures for myocardial protection are of important significance in reducing postoperative complications and mortality in infants and children