Analysis of early results of adult congenital heart disease underwent surgical correction
10.3760/cma.j.issn.1001-4497.2016.02.005
- VernacularTitle:成人先天性心脏病术后早期临床结果及 IC U 滞留分析
- Author:
Rongyuan ZHANG
;
Yanbo ZHANG
;
Keming YANG
;
Haibo HUANG
;
Chen SHI
;
Yanhai MENG
;
Shuo CHANG
;
Qiulan YANG
;
Zina LIU
;
Lingfeng LIU
- Publication Type:Journal Article
- Keywords:
Adult congenital heart disease;
Heart surgery;
Intensive care
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(2):80-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize 500 cases of surgical experience in restoration of adult congenital heart disease ( ACHD) treatment and early postoperative.Methods During January 2012 to December 2014 in Fuwai Hospital, 500 cases of ACHD treated by operation were chosen to collect the clinical data .We divided the groups according to whether the case was a complex malformation and whether the case had an ICU retention time is more than the 5 days.Results The average age was 35, the average weight was 59 kg.The operation average cardiopulmonary bypass(CPB) time was 102min.The average ICU treatment time was 2 days, the average duration of mechanical ventilation was 23 hours, 3 early deaths occurred.The complex malformation group had younger age and less weight than the simple malformation group , the complex malformation group had longer time of cardiopulmonary bypass time, aortic cross clamping time, mechanical ventilation time and ICU treatment time, had higher rate of complication and blood transfusion peri-operative period than the simple malformation group.(P<0.05) The group of ICU retention time less than 5 days had higher rate of the male proportion, had younger age and less weigh, had longer time of cardiopulmonary bypass time , mechanical ventilation time and ICU treatment time , had higher rate of complication and blood transfusion peri-operative period than the control group(P <0.01).Conclusion Although ACHD patients have long medical history and complicated pathological and physiological changes , when they get proper surgical operation and periopera-tive treatment, they should obtain satisfied effect.Professional medical team or organization service for the ACHD patient is very important and urgent to build.
