婴幼儿心内直视手术后的呼吸监护

目的探讨婴幼儿心内直视手术后的呼吸监护体会，为婴幼儿心内直视手术后的呼吸监护提供科学的监护方法及护理对策。方法总结我院从2004年1月至2007年8月，共对77例3岁以下婴幼儿先天性心脏病施行外科矫治术的术后呼吸监护体会，其监护要点是：①正确使用呼吸机；②妥善固定气管插管；③保持呼吸道通畅；，④正确拔除气管插管；⑧做好拔管后呼吸道护理；⑥肺部并发症的预防及护理。结果本纽患儿均顺利完成体外循环（CPB）和心内直视手术。术后肺部感染4例，经治疗后均顺利康复出院。结论监护方法及护理对策安全可行，效果良好，为婴幼儿心内直视手术成功提供了保障。

Pulmonary monitoring after open,heart surgery in children

Objective To discusse the experience of puhnonary monltonng after open - heart surgery among children. It aims to show scientific methods of pulmonary monitoring and nursing for children after open - heart surgeries. Methods Seventy - seven patients under 3 years old who received congenital heart disease surgeries were collected in the study from January 2004 to August 2007. All the patients in the study were on ventilators after operations. The key points for monitoring were as follows：① Correct use of ventilator ;②Proper fixation of tracheal intubations ： ③Keeping the airway patent; ④Proper extubation ; Nursing care after extubation： ⑥Nursing to prevent pulmonary complications. Results All the children successfully completed open heart surgeries with by - pass. Four cases developed pulmonary infections after surgeries and recovered after treatment. Conclusions These monitoring methods and nursing measures are safe and applicable, which improves the success of open -heart surgeries among children.