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低体重婴幼儿体外循环心脏术后毛细血管渗漏综合征的危险因素分析

刘宇 王辉山 宋恒昌 董英

中国体外循环杂志2011,Vol.9Issue(3):156-159,162,5.
中国体外循环杂志2011,Vol.9Issue(3):156-159,162,5.

低体重婴幼儿体外循环心脏术后毛细血管渗漏综合征的危险因素分析

Analysis of influencing factors for capillary leak syndrome in low weight infants after cardiopulmonary bypass

刘宇 1王辉山 2宋恒昌 2董英2

作者信息

  • 1. 710032,西安,第四军医大学研究生院,110016,沈阳,沈阳军区总医院心血管外科
  • 2. 110016,沈阳,沈阳军区总医院心血管外科
  • 折叠

摘要

Abstract

OBJECTIVE To determine influence factors of capillary leak syndrome ( CLS ) in low weight infants with congenital heart disease after cardiopulmonary bypass ( CPB ).METHODS Clinical datas were retrospectively collected and analyzed from infants ( weight≤ 13 kg ) underwent CPB in our hospital between October 2008 and February 2010.Several statistically significant influence factors were screened out with univariate analysis and independent influence factors of CLS were determined with multivariate logistic regression analysis.RESULTS The morbidity rate of CLS was 12.75%.Univariate analyses showed that age, weight and autoblood volume/priming volume ( A/P ) were lower in patients with CLS than in those without CLS ( P < 0.01 ).Duration of CPB, duration of aortic cross - clamp and Risk Adjustment in Congenital Heart Surgery ( RACHS ) were higher in patients with CLS than in those without CLS ( P < 0.05 ).Logistic analysis showed the influencing factors of CLS were weight and A/P, and the A/P was the most important factor.CONCLUSION A/P is the main independent influence factor of the incidence of CLS, weight has certain significance in the incidence of CLS.

关键词

先天性心脏病/毛细血管渗漏综合征/体外循环

Key words

Congenital heart disease/ Capillary leak syndrome/ Cardiopulmonary bypass

分类

医药卫生

引用本文复制引用

刘宇,王辉山,宋恒昌,董英..低体重婴幼儿体外循环心脏术后毛细血管渗漏综合征的危险因素分析[J].中国体外循环杂志,2011,9(3):156-159,162,5.

中国体外循环杂志

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