西南国防医药2012，Vol.55Issue(7)：755-757,3.DOI:10.3969/j.issn.1004 - 0188.2012.07.022
低体重婴幼儿先心病体外循环预充液体管理
CPB - prefilling management in low - weight children with congenital heart dis
辛梅 1欧阳辉 1张近宝 1倪尔连 1刘刚 1岳琴 1邬晓臣1
作者信息
- 1. 610083,成都,成都军区总医院心胸外科
- 折叠
摘要
Abstract
Objective To retrospectively analyze and summarize the CPB - prefilling management in 75 children with the weight below 10 kg who received surgery on congenital heart disease in 2011. Methods Seventy five children aged from 1 to 24 months and weighted from 2.5 to 10 kg received open heart operation on congenital heart disease. Imported membrane oxygenate( MAQUET 30000 or 10000 ) was used in all these cases. Reasonable prefilling plans were made according to preoperational interview and examination results. The ingredients of priming fluid included bomaili, albumin, banked blood, sodium bicarbonate, and manicol,etc. After the beginning of CPB, the blood gas analysis of venous blood and detection of HCT were carried out. Results The indexes of first blood gas analysis among those children after the beginning of CPB were all normal. Complications such as abnormality in heart rate didnt occurre before the obstruction of artery. Conclusion The prefilling volume of CPB in low - weight children should be minimized. The management of prefilling should be strengthened, and colloid osmotic pressure should be raised in order to improve the postoperative recovery of these patients.关键词
体外循环/先天性心脏病/低体重婴幼儿Key words
cardio - pulmonary bypass/ congenital heart disease/ low - weight children
分类
医药卫生引用本文复制引用
辛梅,欧阳辉,张近宝,倪尔连,刘刚,岳琴,邬晓臣..低体重婴幼儿先心病体外循环预充液体管理[J].西南国防医药,2012,55(7):755-757,3.
