Cardiac anesthesia control in infants with weight

WANG Hong; et al

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Cardiac anesthesia control in infants with weight

更新时间：2024-01-17

- Cardiac anesthesia control in infants with weight
- Journal of Chongqing Medical University Issue 6, Pages: 889-891(2006)
- 作者机构：
  
  1. 重庆医科大学附属儿童医院麻醉科
  2. 重庆医科大学附属儿童医院麻醉科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：
  CLC： R726.1
- Published：2006，
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[1]王洪,徐洪珍,彭明清,叶茂.低体重小儿先天性心脏病矫治术的麻醉管理[J].重庆医科大学学报,2006(06):889-891.

WANG Hong, et al. Cardiac anesthesia control in infants with weight. [J]. Journal of Chongqing Medical University (6):889-891(2006)
[1]王洪,徐洪珍,彭明清,叶茂.低体重小儿先天性心脏病矫治术的麻醉管理[J].重庆医科大学学报,2006(06):889-891. DOI：

WANG Hong, et al. Cardiac anesthesia control in infants with weight. [J]. Journal of Chongqing Medical University (6):889-891(2006) DOI：

摘要

目的:总结43例低体重（≤5kg）小儿先天性心脏病矫治术的麻醉管理

并对心肌保护、脑保护进行探讨。方法:常规麻醉诱导

气管插管

动静脉穿刺

体外循环

根据需要维持全身深、中、浅低温;主动脉开放后用血管活性药物维持血流动力学。结果:2例大动脉转位患儿死于吻合口渗漏

1例法乐氏四联症患儿死于低心排综合征

肺部并发症8例

Ⅲ度房室传导阻滞1例

其余患儿均恢复良好。本组患儿死亡率6.98%。结论:低体重小儿先天性心脏病矫治术的麻醉管理较困难

死亡率高

并发症多

但只要处理得当

可降低其死亡率及并发症。

Abstract

Objective:To summarize the anesthesia experience of open heart surgery in 43 infants(weigh less than 5kg) and to explore the related issues with myocardioprotection and brain protection.Methods:Conventional induction of anesthesia

nasotracheal intubation

arteriovenous puncture

cardiopulmonary bypass were established

according to the needs for maintaining the body low temperature(deep

middle

superficial);haemodynamics was maintained with vasoactive agent after aorta was opened.Results:Two infants with transposition of conducting arteries succumbed to stoma leak.One infant with tetralogy of Fallot succumbed to low cardiac output syndrome

bellows complication appeared in 8 cases

Ⅲ.atrial ventricular block 1

and the rest infants recovered well.Mortality was 6.98%in this group.Conclusion:Cardiac anesthesia control in infants with low weight is difficult

death rate is hiqh and complication is complex.Butas long as control is done well

mortality omd complitation can be devreased.

关键词

低体重先天性心脏病麻醉管理

Keywords

Low weightcongenital heart diseaseAnesthesia monagement

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Related Institution

Pediatric Intensive Care Unit,the Children’s Hospital,Chongqing Medical University

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