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目的:探讨婴幼儿先天性心脏病术后的常见并发症及防治措施。方法:收集2003~2004年年龄2个月~3岁的病例295例,总结分析其术后并发症。结果:死亡原因以低心排血量综合征为多见,另外依次是急性肾功能衰竭、心律失常、呼吸功能衰竭等。并发症中占第一位的也是低心排血量综合征,共19例,另外依次是肺部并发症、心律失常、急性肾功能衰竭、神经系统并发症等。结论:掌握好手术指征,尽量缩短手术时间,同时提高体外循环水平,加强围术期的监护是减少婴幼儿术后并发症的关键。
Objective: To explore the common complications and prevention and treatment of infants with congenital heart disease. Methods: A total of 295 cases aged 2 months to 3 years old from 2003 to 2004 were collected and their postoperative complications were analyzed. Results: The causes of death with low cardiac output syndrome is more common, followed by acute renal failure, arrhythmia, respiratory failure and so on. Complications in the first place is low cardiac output syndrome, a total of 19 cases, the other followed by pulmonary complications, arrhythmia, acute renal failure, neurological complications. Conclusion: To master the operation indications, minimize the operation time, improve the level of cardiopulmonary bypass, and strengthen the perioperative supervision is the key to reduce the postoperative complications of infants.