| 先天性心脏病体肺分流术后早期失败危险因素分析 |
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| 引用本文： | 徐卓明,杨琦,郭林林,苏肇伉. 先天性心脏病体肺分流术后早期失败危险因素分析[J]. 上海交通大学学报(医学版), 2011, 31(9): 1266-1268,1294. DOI: 10.3969/j.issn.1674-8115.2011.09.012 |
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| 作者姓名： | 徐卓明 杨琦 郭林林 苏肇伉 |
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| 作者单位： | 上海交通大学医学院附属上海儿童医学中心心脏中心重症监护病房,上海,200127 |
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| 摘 要： | 目的分析青紫型先天性心脏病(CHD)行体肺分流术后早期失败的危险因素。方法对接受体肺分流术的73例青紫型CHD患儿的病史资料进行回顾性分析。搜集患儿围术期的客观指标,分别采用χ2检验和Logistic回归对体肺分流术后早期失败事件进行单因素和多因素分析。结果术后14例患儿发生早期失败。χ2检验结果显示:肺动脉闭锁/室间隔完整、年龄≤60 d、体外循环下手术、术中同期行肺动脉扩大术和术后正性肌力药物评分最大值(ISmax)>20是影响患儿早期失败的相关危险因素;Logistic回归分析显示:术中同期行肺动脉扩大术及术后ISmax>20是早期失败的独立危险因素。结论对于存在体肺分流术后早期失败危险因素的青紫型CHD患儿,体肺分流术后早期应加强监护,以减少术后早期失败的发生。
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| 关 键 词： | 体肺分流术 早期失败 危险因素 先天性心脏病 |
Risk factors for early failure after systemic-to-pulmonary artery shunt in congenital heart disease |
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| XU Zhuo-ming,YANG Qi,GUO Lin-lin,SU Zhao-kang. Risk factors for early failure after systemic-to-pulmonary artery shunt in congenital heart disease[J]. Journal of Shanghai Jiaotong University:Medical Science, 2011, 31(9): 1266-1268,1294. DOI: 10.3969/j.issn.1674-8115.2011.09.012 |
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| Authors: | XU Zhuo-ming YANG Qi GUO Lin-lin SU Zhao-kang |
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| Affiliation: | XU Zhuo-ming,YANG Qi,GUO Lin-lin,SU Zhao-kang(Cardiac Intensive Care Unit,Shanghai Children's Medical Center,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China) |
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| Abstract: | Objective To analyse the risk factors for the early failure of systemic-to-pulmonary artery shunt in cyanotic congenital heart disease(CHD).Methods The clinical data of 73 patients with cyanotic CHD undergoing systemic-to-pulmonary artery shunt were retrospectively analysed.The perioperative objective parameters were collected.Univariant analysis was performed with Chi-square test and multivariate analysis was carried out with Logistic regression analysis to seek the risk factors for early failure after sys... |
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| Keywords: | systemic-to-pulmonary artery shunt early failure risk factor congenital heart disease |
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