Mirzaei Maryam, Mirzaei Samaneh, Sepahvand Elham, Rahmanian Koshkaki Afifeh, Kargar Jahromi Marzieh
.
Glob J Health Sci. 2015 Aug 23;8(5):33-8. doi: 10.5539/gjhs.v8n5p33.
Today, with progress in the field of congenital heart surgery, different complicated actions are done in children. These actions may be associated with several complications, especially open heart surgery in which the cardiopulmonary bypass (CPB) is used. Serious complications can be caused high morbidity and mortality rates. Present study has been performed to determine the incidence of morbidity and mortality in cardiac surgery in children.
In a cross-sectional retrospective, records of 203 patients undergoing surgery for congenital heart disease in Dena hospital during 2013-2015 were reviewed for incidence of complications. Data was analyzed by using descriptive and analytical statistics and using SPSS version 18.
The mean age of samples was 3/65±4/47 years. The majority of samples (73/8%) were undergoing open surgery. The overall adverse cardiovascular complications were respectively, renal complications (44/3%), lung (40/3%), anemia (35/9%), heart (34/4%), gastrointestinal (17/2%), brain (14/2%), need for re-intubation of the trachea 11/3%), infection (7/8%) required reoperation (5/9%) and vascular complications (1/4%).
High incidence of complications after congenital heart surgery makes necessary attention to complications and their treatment after surgery. It is necessary to apply the measures and careful monitoring of patients to minimize these effects.
如今,随着先天性心脏病外科领域的进展,儿童患者会接受不同的复杂手术。这些手术可能会引发多种并发症,尤其是使用体外循环(CPB)的心脏直视手术。严重并发症可导致高发病率和死亡率。本研究旨在确定儿童心脏手术中并发症的发病率和死亡率。
在一项横断面回顾性研究中,对2013年至2015年期间在德娜医院接受先天性心脏病手术的203例患者的并发症记录进行了回顾。使用描述性和分析性统计方法,并运用SPSS 18版软件对数据进行分析。
样本的平均年龄为3.65±4.47岁。大多数样本(73.8%)接受的是开胸手术。总体不良心血管并发症分别为:肾脏并发症(44.3%)、肺部并发症(40.3%)、贫血(35.9%)、心脏并发症(34.4%)、胃肠道并发症(17.2%)、脑部并发症(14.2%)、需要再次气管插管(11.3%)、感染(7.8%)、需要再次手术(5.9%)以及血管并发症(1.4%)。
先天性心脏病手术后并发症的高发生率使得有必要关注术后并发症及其治疗。有必要采取措施并对患者进行仔细监测,以尽量减少这些影响。