中国体外循环杂志2023，Vol.21Issue(6)：329-332,4.DOI:10.13498/j.cnki.chin.j.ecc.2023.06.03
新型冠状病毒感染后小儿先天性心脏病心脏手术的体外循环相关结果
Results of cardiopulmonary bypass related to cardiac surgery in children with congenital heart disease after novel coronavirus infection
摘要
Abstract
Objective This article aims to review and analyze the clinical results of a large number of children with con-genital heart disease(CHD)after novel coronavirus infection in a short period of time in the pediatric heart center of our hospital,and summarize the clinical outcomes and management characteristics of cardiopulmonary bypass.Methods From January 3,2023 to January 17,2023,a total of 61 children in our pediatric cardiac surgery department who underwent cardiac correction surgery were retrospectively analyzed for the epidemiological data related to COVID-19 infection,the management data of extra-corporeal circulation,the relevant laboratory examinations of the heart before and after surgery,and the clinical results after sur-gery.Result There were 13 cases of complex congenital heart disease(including 3 neonates)and 46 cases of simple congenital heart disease.Among them,3 neonates were always negative for COVID-19.The median time to negative transition of periopera-tive COVID-19 infected infants was 23.1d,median age was 10.5 months,and median body weight was 9.8 kg.The transfer time was 77(66,117)min,the aortic occlusion time was 49(29,66)min,and the heparin body weight ratio was 5.1 mg/kg.The ventila-tor use time was 13.1(6.0,46.4)h,the ICU time was 46(18.7,112.6)h,and the postoperative hospitalization time were 6(6,9)days.All the children recovered and were discharged from hospital.Conclusion Open heart surgery under cardiopulmonary by-pass for children with simple congenital heart disease who turn negative after infection with the novel coronavirus can be treated in accordance with conventional methods and can safely survive the perioperative period,and the overall clinical results are satis-factory.关键词
新型冠状病毒感染/先天性心脏病/矫治术/心肺转流/临床结果Key words
COVID-19/Congenital heart disease/Surgical correction/Cardiopulmonary bypass/Clinical results引用本文复制引用
缪娜,赵雪婷,杨晓芳,左岩松,李刚,王强,赵举..新型冠状病毒感染后小儿先天性心脏病心脏手术的体外循环相关结果[J].中国体外循环杂志,2023,21(6):329-332,4.基金项目
首都医科大学附属北京安贞医院重大科技创新研发专项基金(KCZD202202) （KCZD202202）
