【摘要】 目的回顾总结49例婴儿法乐四联症术后的治疗经验。方法49例法乐四联症患儿平均年龄8.1±2.5月(4～12月),平均身长69.2±5.7cm(56～87cm),平均体重7.8±1.6kg(4～11kg),平均血红蛋白131±24g/L(86～183g/L)。全组患儿在全麻低温体外循环下行根治术,术后根据患儿情况决定呼吸机辅助时间,常规小剂量多巴胺维护心功能,限制入量,合理利用胶体,保护心功能,预防渗出。结果49例患儿9例(18.37%)出现并发症,死亡1例(2.04%)。结论提高术前诊断准确率,预防缺氧发作,纠正低血红蛋白,术后积极的呼吸管理,合理调整容量,控制入量,保护心功能以及营养支持,可有效降低死亡率和并发症的发生。更多还原

【Abstract】 Objective To sum up the perioperative manageme nt of 49infants with tetralogy of Fallot.Methods These49infants aged 8.1±2.5months(4～12months)with average weight 7.8±1.6kg(4～11kg),body height 69.2±5.7cm(56～87cm)and average blood hemoglobin 131±24g /L(86～183g /L)were done the correct operation under hypothermia and CPB.Respirator were correctly used afte r operation according to the cardiac function and respiratory function.Low dosage of dopamine maintained better cardiac function,volume and colloid were well adjusted.Results There were 9infant (18.37%)of postoper-ative complications.And 1infant (2.04%)was death.Conclusions Improved accuracy of preoperative d iagnosis,well preven-tion of hypoxia and increased blood h emoglobin level before operation,p ositive respire management,reason able volume adjust-ment,better cardiac function prote ction and nutrition support will eff iciently reduce the morbidity of postoperative complication and early mortality.[更多还原