| 小儿法洛四联症根治术后急性呼吸窘迫综合征危险因素分析 |
| |
| 引用本文： | 李胜利,王旭,贺彦,刘迎龙,李守军,闫军.小儿法洛四联症根治术后急性呼吸窘迫综合征危险因素分析[J].北京医学,2009,31(4). |
| |
| 作者姓名： | 李胜利 王旭 贺彦 刘迎龙 李守军 闫军 |
| |
| 作者单位： | 1. 中国医学科学院,北京阜外心血管病医院小儿心脏中心PICU,邮编,100037
2. 中国医学科学院,北京阜外心血管病医院外科,邮编,100037 |
| |
| 摘 要： | 目的 探讨法洛四联症(tetralogy of Fallot,TOF)术后出现急性呼吸窘迫综合(acute respiratory distress syndrome,ARDS)的危险因素,为预防及治疗提供依据.方法 329例TOF根治患儿,分为未发生ARDS组(Ⅰ组,304例)和发生ARDS组(Ⅱ组25例).全组ABDS发生率为7.6%.以年龄、性别、体重、Nakata指数等作为观察变量,进行统计学分析.结果 Ⅱ组死亡3例,病死率为12%.单因素分析显示.Ⅱ组与Ⅰ组比较,年龄低,Nakata指数小(165±43)mm2/m2 vs.(201±32)mm2/m2],体外循环时间长(150±258)min vB.(108±38)min],跨环补片比例多(88%vs69.7%),主动脉/肺动脉比值(AO/PA)大.均有显著性差异.Logistic回归显示,年龄<4个月、Nakat指数<140mm2/m2、体外循环时间>150min、AO/PA>2.5是TOF术后ARDS的危险因素.结论 TOF根治术后ARDS的主要危险因素是低龄、Nakata指数小、体外循环时间长、肺动脉发育差.
|
| 关 键 词： | 法洛四联症 呼吸窘迫综合征 危险因素 |
Risk factors for acute respiratory distress syndrome in children with tetralogy of fallot undergoing corrective operation |
| |
| LI Sheng-li,WANG Xu,HE Yan,et al.Risk factors for acute respiratory distress syndrome in children with tetralogy of fallot undergoing corrective operation[J].Beijing Medical Journal,2009,31(4). |
| |
| Authors: | LI Sheng-li WANG Xu HE Yan |
| |
| Institution: | LI Sheng-li,WANG Xu,HE Yan,et al(Department of Surgery,Fuwai Hospital,Beijing 100037) |
| |
| Abstract: | Objective To explore the risk factors for acute respiratory distress synderome(ARDS) after corrective operation of Tetralogy of Fallot(TOF) in order to offer prophylactic and therapeutic evidence.Methods 329 consecutive patients with TOF undergoing corrective operation were divided into two groups:Group I included 304 cases without ARDS and Group II included 25 patients with ARDS.The morbility of ARDS in the whole group was 7.6%.Statistical analysis was performed with age,sex,body weight and Nakata index as... |
| |
| Keywords: | Tetralogy of Fallot Acute respiratory distress syndrome(ARDS) Risk factor |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
