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婴幼儿心脏不停跳和停跳心内直视手术的临床对比
引用本文:吴军,何巍,冯旭.婴幼儿心脏不停跳和停跳心内直视手术的临床对比[J].心肺血管病杂志,2011,30(6):532-534.
作者姓名:吴军  何巍  冯旭
作者单位:1. 530023,广西南宁 广西中医学院第一附属医院心胸外科
2. 广西医科大学第一附属医院心胸外科
摘    要:目的:比较浅低温心脏不停跳和中低温停跳技术,在婴幼儿心内直视手术的应用。方法:分析56例3岁以下心脏手术患者,将其分为停跳组(组Ⅰ)26例和不停跳组(组Ⅱ)30例。比较2组患者的体外循环(CPB)时间、手术时间、术后呼吸机辅助时间、术后低心排出量综合征(低心排)发生率等指标。结果:不停跳组患者的体外循环时间和手术时间均较停跳组短(P<0.01),并且术后呼吸机辅助时间、术后住院时间较停跳组短(P<0.05);不停跳组患者术后低心排发生率和严重心律失常发生率,均较停跳组低(P<0.05)。结论:表明浅低温体外循环心脏不停跳,可作为一项安全、有效的技术应用于婴幼儿先天性心脏畸形的矫治。

关 键 词:心脏不停跳  心脏停跳  体外循环  婴幼儿  先天性心脏病

Clinical comparison of beating-heart and arrested-heart intracardiac procedure in pediatrics
WU Jun,HE Wei,FENG Xu.Clinical comparison of beating-heart and arrested-heart intracardiac procedure in pediatrics[J].Journal of Cardiovascular and Pulmonary Diseases,2011,30(6):532-534.
Authors:WU Jun  HE Wei  FENG Xu
Institution:WU Jun,HE Wei,FENG Xu Department of Cardiothoracic Surgery,The First Affiliated Hospital To Guangxi Traditional Chinese Medicine University,Nanning 530023,China
Abstract:Objective:To compare the effects of mild hypothermia beating-heart cardiopulmonary bypass(CPB) with those of moderate hypothermia arrested-heat CPB in pediatric intracardiac procedure.Methods:56 patients whose age were under 3 years underwent open heart surgery.They were divided to group 1,26 patients underwent arrested-heart operation,and group 2,30 patients underwent beating-heart operations.Duration of CPB and surgery,postoperative mechanical respiratory assistance duration and incidence of low cardiac o...
Keywords:Beating-heart  Arrested-heart  Extracorporal circulation  Pediatrics  Congenital heart disease  
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