【摘 要】
:
目的总结婴儿体外循环心脏直视手术后肺部并发症的处置经验。方法选择该院120例婴儿心脏术后出现肺部并发症的患儿,其中单纯肺不张患儿60例,予加强拍背、吸痰等处理;单纯气胸
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目的总结婴儿体外循环心脏直视手术后肺部并发症的处置经验。方法选择该院120例婴儿心脏术后出现肺部并发症的患儿,其中单纯肺不张患儿60例,予加强拍背、吸痰等处理;单纯气胸15例,予胸穿抽气治疗;急性肺损伤并肺部感染45例,给予恰当的机械通气、抗感染等综合治疗。结果 120例患儿死亡3例,余117例治愈出院。结论加强肺部体位治疗,合理使用呼吸机、小潮气量的肺保护性通气策略,适当的呼吸末正压设置,积极抗感染、营养支持等有助于提高心脏术后肺部并发症的治愈率。
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