中国体外循环杂志Issue(2)：105-107,3.DOI:10.13498/j.cnki.chin.j.ecc.2015.02.09
10公斤以下婴幼儿心脏直视术的体外循环管理
Extracorporeal circulation management for infants below 10 kg undergoing open heart operation
马兰 1王加利 1张涛 1文宇1
作者信息
- 1. 100853 北京，中国人民解放军总医院心血管外科
- 折叠
摘要
Abstract
Objective To summarize the management of extracorporeal circulation ( ECC) for infants below 10 kilograms un⁃dergoing open heart operation . Methods There are 80 infants below 10 kg who received the open heart operations in our department from December 2013 to March 2015. Imported oxygenator and ultrafilter were used in all patients. Crystalloid solution and albumin solu⁃tion were used as the pre-filling solution. ECC was conducted with mild to moderate hypothermia and median to high perfusion flow. The histidine-tryptophan-ketoglutarate solution was applied for myocardial protection through aortic root. Conventional and modified ul⁃trafiltrations were applied in all cases. Results The cardiopulmonarybypass time was 25-134 (71±29.4) min.The aorta crossclamping time was 20-106 (51.8±21.1) min. Sixty-fourpatients spontaneous resuscitated (94.2%) and electrical defibrillation was used in 4 patients. All children successfully weaned from the bypass machine and was stable during ECC. Conclusion Management of consuma⁃bles, pre-filling, perfusion and organ protection should be strengthened in the ECC of infants with congenital cardiopathy who were be⁃low 10 kg in order to reduce the occurence of postoperative complications and the death rate.Reasonable priming perfusion and hemodi⁃lution,suitable perfusion flow and pressure, management liquid of input-output, and myocardial protection were effective ways in ECC management of infants with congeniml heart disease who have low body weight.关键词
体外循环/先天性心脏病/低体重/婴幼儿/心脏直视术Key words
Extracorporeal circulation/Congenital heart diseases/Low Body weight/Infants/Open heart operation引用本文复制引用
马兰,王加利,张涛,文宇..10公斤以下婴幼儿心脏直视术的体外循环管理[J].中国体外循环杂志,2015,(2):105-107,3.
