中国输血杂志2012，Vol.25Issue(11)：1169-1172,4.
先天性心脏病患儿的无血手术治疗
Bloodless surgical treatment of children with congenital heart disease
摘要
Abstract
Objective To explore the feasibility of the bloodless surgical treatment of children with congenital heart disease, in response to the tense present situation of blood resources, and to improve the use of blood scientifically and ra-tionally. Methods Study in 57 children of 9～20kg ( 16. 32 ± 2.08 ) kg ,with congenital heart disease, consist of atrial septal defect and ventricular septal defect, which divided into bloodless group ( n = 25 ) and control group ( n = 32 ) . Preoperative,intr8operative,and postoperative indicators,including cardiopulmonary bypass time,clamping time,hematocrit from preoperation to 7 days after operation, intraoperative, postoperative urine and pleural effusion drainage, ICU days, postoperative days, total hospitalization days and hospitalization costs,were compared in the two groups. Results In the two groups,cardiopulmonaiy bypass time,clamping time,hematocrit from preoperation to 7 days after operation,intraoperative, postoperative urine and pleural effusion drainage,ICU days,and total hospitalization days were not statistically significant ( all P < 0. 05 ) , but postoperative days: bloodless group ( 7. 56 ± 1. 50) days, control group ( 8. 88 ± 2. 12 ) days (P < 0.05), and hospitalization costs: bloodless group RMB (28 441.65 ±2 489. 90), control group RMB (30 189.46 ±4 892. 37 ) ( P < 0. 05). Conclusion Children in 9～20 kg with congenital heart disease can be safely without use of any blood products for surgical treatment. Bloodless surgical treatment, in a certain extent, shortened the postoperative days, re-duced hospitalization costs. It is necessary to advocate and promote bloodless surgical treatment for congenital heart disease in children.关键词
先天性心脏病/患儿/无血手术/术后住院时间/住院费用Key words
Congenital heart disease/Children/Bloodless surgical treatment/Postoperative days/Hospitalization costs分类
医药卫生引用本文复制引用
高伟,刚奕冰,李巅远,刘晋萍,李波,沈向东..先天性心脏病患儿的无血手术治疗[J].中国输血杂志,2012,25(11):1169-1172,4.基金项目
协和学者与创新团队发展计划(2011-XH7) （2011-XH7）
