| 摘要: |
| ［摘要］ 目的 探讨小儿单纯房间隔、室间隔缺损术后超早期拔管的安全性和经济效益。方法 选择50例单纯房间隔、室间隔缺损患儿，按随机数字表法分为两组，每组25例，Ⅰ组超早期拔管组(手术室内拔管或者术后1 h内拔管)，Ⅱ组为早期拔管组(术后1～6 h内拔管)。比较两组患儿的一般资料、拔管前后血气分析、住院期间总费用、ICU停留时间、再次插管率及肺部并发症。结果 两组拔管后30 min血气分析各指标、术后住院时间、再次插管率、低氧血症率、肺部感染率、支气管痉挛率比较差异无统计学意义(P>0.05)。Ⅰ组ICU停留时间、住院期间总费用较Ⅱ组少，差异有统计学意义(P<0.01)。结论 对于单纯房间隔、室间隔缺损小儿，术后超早期拔管是安全的，有一定的经济效益。 |
| 关键词: 小儿 先天性心脏病 早期拔管 |
| DOI：10.3969/j.issn.1674-3806.2015.04.02 |
| 分类号:R 654.2 |
| 基金项目:广西卫计委科研课题（编号：Z2012677） |
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| Clinical study of very early extubation in children with atrial septal defect or ventricular septal defect after open heart surgery |
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SHI Qi-fang, LIANG Da-sheng
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Intensive Care Unit, the Second People′s Hospital of Qinzhou, Guangxi 535000, China
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| Abstract: |
| ［Abstract］ Objective To study safety and economic effectiveness of very early extubation in children with atrial septal defect(ASD) or ventricular septal defect(VSD) after open heart surgery.Methods Fifty cases of children with ASD or VSD were randomly divided into two groups, very early extubation group(group Ⅰ, n=25) and traditional eary extubation group(group Ⅱ, n=25). The two groups were compared with data on ICU observing time, hospitalization costs, blood gas analysis after tracheal extubation and pulmonary complications.Results Blood gas analysis at the 30th min after tracheal extubation in group Ⅰwas similar to that in group Ⅱ(P>0.05). There were no significant differences between the two groups on the data on the rate of eintubation, time of postoperative hospital stay, pulmonary complication(P>0.05). The length of ICU stay and hospitalization costs in group Ⅰ were significantly less than those in groupⅡ(P<0.05).Conclusion Very early extubation in children with ASD or VSD after open heart surgery is safe and economical. |
| Key words: Children Congenital heart disease Early extubation |
