Before extubation blood gas factors analysis of postoperative early withdraw ventilator influencing in in-fants with congenital heart diseases
10.3969/j.issn.1006-5725.2018.08.034
- VernacularTitle:婴幼儿先心病术后拔管前血气分析对早期撤机的影响
- Author:
Chao LIN
1
,
2
;
Beitao GONG
;
Yunquan LI
;
Yuese LIN
;
Xuandi LI
;
Hong-Jun BA
;
Lin ZHU
;
Youzhen QIN
;
Huisen WANG
Author Information
1. 中山大学附属第七医院心脏儿科 广东深圳518026
2. 中山大学附属第一医院心脏儿科 广州510080
- Keywords:
infants;
congenial heart diseases after surgery;
the blood gas analysis before extubation;
early withdraw ventilator
- From:
The Journal of Practical Medicine
2018;34(8):1360-1363
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the blood gas analysis before extubation related to early withdraw venti-lator in infants with congenital heart disease.Methods Collecting the blood gas analysis datas before extubation of infants with congenital heart disease who were treated with CICU in our hospital from 2014. 01.01 to 2017.01.01, To analyze the relationship between early withdraw ventialtor and the blood gas analysis before extubation. Re-sults 1.Univariate analysis showed that infants with congenital heart disease early postoperative rate of weaning were related to blood gas analysis before extubation with PH,HCO3-,Lac-,SaO2,A-aDO2,respiratory index and oxygenation index(P<0.05).2.The results of non conditional logisitic regression analysis showed that PH,HCO3-and Lac- were independent factors,the value of OR(95%CI) were 50.1(80-311),1.51(1.12-2.02) and 0.18 (0.05-0.65). Conclusion In infants with congenital heart disease before extubation SaO2high,A-aDO2≤ 100 mmHg,respiratory index low and oxygenation index high were the important factors of postoperative early weaning;The PH,HCO3-and Lac-were independent factors,even though early withdrawal unit blood gas analysis before ex-tubation the index is inferior to late withdrawal unit's,it can also achieve early weaning in the basic normal value range.
