Influence of cardiopulmonary bypass on postoperative brain cognitive function of children with congenital heart disease
10.3760/cma.j.issn.2095-428X.2020.01.019
- VernacularTitle: 体外循环对先天性心脏病术后患儿脑认知功能的影响
- Author:
Kun XIANG
1
;
Haisong BU
;
Jiarong LI
;
Jinlan CHEN
Author Information
1. Department of Cardiovascular Surgery, the Second Xiangya Hospital of Central South University, Changsha 410011, China
- Publication Type:Review
- Keywords:
Cardiopulmonary bypass;
Brain cognitive function;
Congenital heart disease
- From:
Chinese Journal of Applied Clinical Pediatrics
2020;35(1):66-69
- CountryChina
- Language:Chinese
-
Abstract:
Congenital heart disease (CHD) is the most common congenital malformation disease in infants.With the rapid development of clinical treatment, the survival rate of children with CHD increased significantly.However, postoperative complications in children with CHD, including heart failure, heart arrythmia, pulmonary hypertension and brain cognitive dysfunction, are another challenge, among which, brain cognitive dysfunction has been gradually recognized and valued by scholars.At present, the effect of cardiopulmonary bypass on brain cognitive function of children with CHD has been studied by a variety of research methods, including molecular biological technique, magnetic resonance imaging technique, optical imaging technology, brain electrical activity monitoring technology and nervous development scale.Varying degrees of brain cognitive dysfunction will occur in children with CHD after heart surgery, which is closely associated with many factors such as systemic inflammatory response related to cardiopulmonary bypass, cerebral ischemia-reperfustion injury, the duration of cardiopulmonary bypass, aortic cross clamp time, deep hypothermia circulatory arrest time, dynamic changes of temperature, degree of hemodilution and blood gas management strategy.The influence of cardiopulmonary bypass on postoperative brain cognitive function in children with CHD is reviewed in this paper, in order to provide reference for clinical diagnosis and treatment, and to improve the prognosis of children with CHD.
