婴幼儿先心病术后呼吸机支持治疗

目的 利用呼吸机对婴幼儿先心病患儿进行术后支持治疗以提高外科治疗效果。方法 用呼吸机不同的机械通气方式对366例3岁以下婴幼儿先心病患儿进行术后支持治疗，促进其心肺功能的恢复。结果 本组366例3岁以下婴幼儿先心病患儿呼吸机支持时间最长32d，最强2.5h，平均14.2h；机械通气过程中并发呼吸道感染16例（4.4%)；再插管8例（2.2%)；术后近期死亡率12%（3.3%)。结论 婴幼儿先心病患儿术后呼吸的支持与管理有其自身的特点，抓住这些特点就可以使手术的死亡率与并发症的发生率进一步下降，从而获得满意的疗效。

Postoperative mechanical ventilation of infants with congenital heart disease

Objective To improve the results of surgical treatment of infants with congenital heart disease (CHD) by using postoperative mechanical ventilation.Methods Using different mechanical ventilation models to 366 post-cardiac operation infants aged not more than 3 years old to improve their heart and respiratory function.Results Ventilating time varied from 2.5 hours to 32 days,with the mean time 14.2 hours.During the mechanical ventilation stage,the respiratory infection rate was 4.4%.The reintubation rate was 2.2%.Postoperative early mortality was 3.3%.Conclusion The infants with CED have their own characters in postoperative mechanical ventilation.Manipulating according to these characters will lead to a more satisfied outcome.