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目的探索手术对低出生体重先天性心脏病患儿的临床疗效以及围术期的处理办法。方法回顾性分析2012年1月至2015年6月我院行心内直视根治性手术的788例低出生体重先天性心脏病患儿的临床资料,其中男379例,女409例,平均年龄4.5(1~6)个月,出生时平均体重1 780~2 500(1 844.6±44.5)g。对患儿手术时间、围术期处理以及手术成功率等情况进行观察分析。结果心内直视根治术平均手术时间110~240(132±18)min,平均体外循环时间32~120(80±20)min,平均主动脉阻断时间15~45(35±11)min,平均呼吸机辅助治疗时间5~96(15±5)h。患儿术后治愈总有效率达到96.8%,死亡率3.2%,患儿的治愈效果较显著。结论加强围术期处理可以有效地提高患儿的存活率,改善患儿的生活质量,因此低出生体重先天性心脏病患儿早期治疗方式值得在临床工作中推广应用。
Objective To explore the clinical effect of operation on children with congenital heart disease with low birth weight and the treatment measures during perioperative period. Methods The clinical data of 788 children with congenital heart disease with low birth weight undergoing open heart surgery from January 2012 to June 2015 in our hospital were retrospectively analyzed. There were 379 males and 409 females, mean age 4.5 (1 ~ 6) months, the average birth weight of 1 780 ~ 2 500 (1844.6 ± 44.5) g. Surgical operation time, perioperative management and surgical success rate were observed and analyzed. Results The average operation time of the open heart surgery was 110 ~ 240 (132 ± 18) min, the average time of cardiopulmonary bypass was 32 ~ 120 (80 ± 20) min and the mean aortic block time was 15 ~ 45 (35 ± 11) min, The average ventilator assisted treatment time 5 ~ 96 (15 ± 5) h. Children with postoperative cure total efficiency of 96.8%, the mortality rate of 3.2%, the cure effect in children is more significant. Conclusion Strengthening perioperative management can effectively improve the survival rate of children and improve the quality of life in children. Therefore, early treatment of children with congenital heart disease with low birth weight is worthy of promotion and application in clinical practice.