Yu Hongyun,Gu Xiaorong,Guan Yongmei..Related factors and interventions for complications after Fontan operation[J].Journal of Clinical Pediatric Surgery,2018,17(09):684-687.
Fontan手术后并发症相关因素的分析及干预研究
- Title:
- Related factors and interventions for complications after Fontan operation
- Keywords:
- Fontan procedure; Complication; Related factors; Intervention
- 文献标志码:
- A
- 摘要:
- 目的 探讨Fontan术Fontan手术后并发症产生相关因素及干预方案。方法 收集2014年 1 月至2016年 1月在本院行Fontan术Fontan手术后出现并发症的47例患儿为研究对象，分析并发症发生的相关因素及干预措施。结果 47例患儿中20例（内管道手术13例、外管道7例）出现心律失常伴有低心排血量综合征、7例低氧血症、11例胸腔积液、6例肾功能受损、2例肝肾功能受损、1例脑部并发症，2例因室颤抢救无效死亡。本研究中患儿病死率为4.26%。呼吸机使用时间2 ~ 160 h，胸腔引流时间4 ~ 28 d，术后监护时间3 ~ 12 d。结论 Fontan手术作为治疗复杂先心病的手术方法已在临床广泛应用，而术后多种并发症的出现会造成患儿恢复时间延长甚至死亡，针对术后并发症产生相关因素进行分析，采取有效的预防和干预措施，使患儿早日康复，降低病死率。
- Abstract:
- Objective To explore the related factors and interventions for complications after Fontan operation. Methods A total of 47 children with complications after Fontan operation were analyzed retrospectively from January 2014 to January 2016. And related factors and interventions were analyzed. Results Among 20 cases of arrhythmia with low cardiac output, intracardiac (n=13) and extracardiac (n=7) conduit Fontan operations were performed. There were also hyoxemia (n=7), pleural effusion (n=11), abnormal renal function (n=6), abnormal hepatorenal function (n=2), cerebral complications (n=1) and ventricular fibrillation (n=2). The morality rate was 4.26%. The time of mechanical ventilation was 2 to 160 h, the length of pleural drainage 4 to 28 days and the duration of ICU (intensive care unit) 3 to 12 days. Conclusion Fontan operation has been widely applied for complicated congenital heart disease. Postoperative complications may prolong the recovery time and even cause death. Effective preventive and interventional measures are needed.
参考文献/References:
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