中国医学创新2016，Vol.13Issue(22)：36-40,5.DOI:10.3969/j.issn.1674-4985.2016.22.009
12公斤以下婴幼儿心内直视手术的体外循环
The Cardiopulmonary Bypass during the Open Heart Surgery in Infants with Body Weight Less than ;12 kg
周蓉 1程殿威 1李天成 1强毅 1宋兵1
作者信息
- 1. 兰州大学第一医院 甘肃 兰州 730000
- 折叠
摘要
Abstract
Objective:To summarize cardiopulmonary bypass(CPB)management experience for infants weighing less than 12 kg undergoing open heart operation.Method:There were 312 infants below 12 kg who received the open heart operations in our department with CPB for congenital heart disease from January 2012 to December 2014.The particularity of children’s CPB was understood,and the method was determined according to its own pathological and physiological characteristics.Result:CPB time was 29-154 min,average(63.9±40.4) min,aortic cross-clamping time was 12-105 min,average(38.9±21.8)min.The heart beat recovered spontaneously of 288 cases(95.8%)and no patient had difficulty in weaning off the cardiopulmonary bypass. Cardiopulmonary bypass can be performed successfully under proper procedures,without accident and complication relevant to CPB. Among 312 cases,4 infants died with a mortality of 1.28%.Conclusion:It is very important to establish a more compatible CPB model for the non-physiological status during operation in infants. Several strategies should be used to increase the successful rate of the cardiac surgery,including appropriate priming solutions and hemodilution,selective membrane oxygenator and CPB pipeline,reasonable perfusion flow and pressure,careful fluid balance and temperature management,superior myocardium and other viscera protection, and modified ultrafiltration application. These can improve postoperative recovery and reduce the occurrence of postoperative complications and the death rate.关键词
体外循环/婴幼儿/心内直视手术/先天性心脏病Key words
Cardiopulmonary bypass/Infants/Open hearty operation/Congenital heart disease引用本文复制引用
周蓉,程殿威,李天成,强毅,宋兵..12公斤以下婴幼儿心内直视手术的体外循环[J].中国医学创新,2016,13(22):36-40,5.
