Effect of ventricular septal defect repair under cardiopulmonary bypass and bronchofiberscope lavage in the treatment of ventricular septal defect and severe pneumonia in children

LIU Jian-guo; YAN Hong; LI Qing

您当前的位置：

首页 >

文章列表页 >

Effect of ventricular septal defect repair under cardiopulmonary bypass and bronchofiberscope lavage in the treatment of ventricular septal defect and severe pneumonia in children

更新时间：2022-06-24

- Effect of ventricular septal defect repair under cardiopulmonary bypass and bronchofiberscope lavage in the treatment of ventricular septal defect and severe pneumonia in children
- null Issue 1, Pages: 56(2022)
- 作者机构：
  
  徐州市儿童医院心胸外科,江苏,徐州,221000
- 作者简介：
- 基金信息：
- DOI：
  CLC：
扫描看全文
LIU Jian-guo, YAN Hong, LI Qing. Effect of ventricular septal defect repair under cardiopulmonary bypass and bronchofiberscope lavage in the treatment of ventricular septal defect and severe pneumonia in children. [J]. null (1):56(2022)
DOI：

LIU Jian-guo, YAN Hong, LI Qing. Effect of ventricular septal defect repair under cardiopulmonary bypass and bronchofiberscope lavage in the treatment of ventricular septal defect and severe pneumonia in children. [J]. null (1):56(2022) DOI：

摘要

目的探讨体外循环下室间隔缺损修补术同期纤支镜灌洗治疗小儿室间隔缺损并重症肺炎的临床效果。方法选取室间隔缺损并重症肺炎患儿20例，按照随机数字表法分为对照组（10例）和观察组（10例）。对照组实施常规治疗+体外循环下室间隔缺损修补术，观察组实施常规治疗+体外循环下室间隔缺损修补术+纤支镜灌洗。对比2组患儿体外循环时间、主动脉阻断时间、呼吸机辅助治疗时间、住院时间等手术相关指标，检测2组患儿治疗前、治疗后1个月及治疗后3个月的心功能与肺功能指标变化，统计2组患儿治疗后3个月的并发症发生率和病死率。结果 2组患儿体外循环时间、主动脉阻断时间比较差异均无统计学意义（P>0.05），观察组呼吸机辅助治疗时间、住院时间均短于对照组（P＜0.05）。2组患儿治疗后1个月及治疗后3个月的左心室射血分数（LVEF）、二尖瓣E峰/A峰（E/A）、动态顺应性和氧合指数均高于治疗前（P＜0.05），左心室收缩时间间期（LVSTI）和呼吸做功均低于治疗前（P＜0.05），治疗后3个月的心、肺功能指标与同组治疗后1个月比较差异均无统计学意义（P>0.05）；观察组治疗后1个月及治疗后3个月的LVEF、E/A、动态顺应性和氧合指数均高于对照组（P＜0.05），LVSTI和呼吸做功均低于对照组（P＜0.05）。观察组治疗后3个月的并发症总发生率低于对照组（P＜0.05），2组患儿病死率比较差异无统计学意义（P>0.05）。结论采用体外循环下室间隔缺损修补术同期纤支镜灌洗治疗小儿室间隔缺损并重症肺炎可改善患儿心肺功能，减少并发症，缩短患儿康复时间。

Abstract

关键词

体外循环室间隔缺损修补术纤支镜灌洗室间隔缺损重症肺炎

Keywords

ardiopulmonary bypassventricular septal defect repairbronchofiberscope lavageventricular septal defectsevere pneumonia

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Transthoraic miniinvasive surgical occlusion of atrial and ventricular septal defects

Application of small incision closure through right chest and right atrium in children with ventricular septal defect

Application of mild hypothermia cerebral perfusion in treatment of pediatric ventricular septal defect repair under cardiopulmonary bypass

Related Author

ZENG Xiangjun

DING Yu

YU Hua

WANG Xinjie

CHONG Penggui

ZHENG Wenqing

FANG Yanpeng

ZHU Wenqing

Related Institution

Department of Cardiovascular Surgery,People’s Hospital of Guizhou Province

Department of Anesthesia,Second Affiliated Hospital of Guiyang College of Traditional Chinese Medicine

Department of Cardiothoracic Surgery,Second Affiliated Hospital of Guiyang College of Traditional Chinese Medicine

Department of Cardiology,Second Affiliated Hospital of Guiyang College of Traditional Chinese Medicine

Department of Ultrasonography,Second Affiliated Hospital of Guiyang College of Traditional Chinese Medicine

⁰