5kg以下婴幼儿体外循环术后ICU护理体会

目的:总结低体重先天性心脏病患儿术后ICU的护理措施与经验。方法:对40例低体重先天性心脏病患儿术后在ICU对其呼吸系统、循环系统、电解质及其并发症的监护及护理管理进行分析。结果:本组病例中39例康复出院,1例死亡,其中发生低心排2例,出血1例,严重心律失常2例,肺不张4例。结论:加强对低体重儿体外循环术后ICU的监护和护理管理,能及时发现和减少并发症,提高手术成功率,使患儿早日康复。

Nursing experience of extracorporeal circulation postoperation with infants less 5 kg

Objective：To summarize the intensive care experience for low weight infant undergoing congenital heart surgery.Methods：To analyze retrospectively the management of respiratory system,circulation system,the electrolyte balance and early complications for the postoperative infants suffered congenital heart diseases.Results：After all there were 39 patients recovered successfully,whereas one died.During the intensive caring,9 infants occurred complications,which including 2 low cardiac output syndrome,1 bleeding,2 serious arrhythmia,4 atelectasis.Conclusions：For low weight postoperative infants who suffered congenital heart disease,enhanced intensive care could detect complications promptly,diminish the rate of complication,increase the rate of successful surgery,make early recovery.