论文部分内容阅读
目的探讨婴幼儿先天性心脏病术后发生呼吸功能衰竭的危险因素。方法将1 105例婴幼儿先天性心脏病患儿,按术后有无呼吸功能衰竭分为两组,进行单因素分析和多因素Logistic回归分析。结果术后发生呼吸功能衰竭83例(7.5%)。单因素分析术前年龄、术前反复呼吸道感染、心功能、心胸比率、血浆清蛋白浓度,二次体外循环,术后氧合指数与术后发生呼吸功能衰竭有关。多元Logistic回归分析结果显示,小于6个月患儿、术前反复呼吸道感染和术后血气分析氧合指数低于300mmHg,为先天性心脏病手术后发生呼吸功能衰竭的危险因素。结论小于6个月患儿、术前反复呼吸道感染和术后氧合指数低于300 mmHg是先天性心脏病术后发生呼吸功能衰竭的独立危险因素。提早干预,减少呼吸功能衰竭发生。
Objective To investigate the risk factors of respiratory failure in infants with congenital heart disease. Methods One hundred and fifty-five infants with congenital heart disease were divided into two groups according to their postoperative respiratory failure. Univariate analysis and multivariate Logistic regression analysis were performed. Results Postoperative respiratory failure occurred in 83 cases (7.5%). Univariate analysis of preoperative age, preoperative respiratory tract infection, cardiac function, cardiothoracic ratio, plasma albumin concentration, cardiopulmonary bypass, postoperative oxygenation index and postoperative respiratory failure related. Multivariate logistic regression analysis showed that children younger than 6 months, preoperative respiratory tract infection and postoperative blood gas analysis of oxygen index below 300mmHg, is a risk factor for respiratory failure after congenital heart disease surgery. Conclusions Children less than 6 months old, preoperative respiratory tract infection and postoperative oxygenation index less than 300 mmHg are independent risk factors for postoperative respiratory failure in patients with congenital heart disease. Early intervention to reduce respiratory failure.