先天性心脏手术后拔管失败的危险因素

中国小儿急救医学 Pub Date : 2019-11-20 DOI:10.3760/CMA.J.ISSN.1673-4912.2019.11.012

Linhong He

{"title":"先天性心脏手术后拔管失败的危险因素","authors":"Linhong He","doi":"10.3760/CMA.J.ISSN.1673-4912.2019.11.012","DOIUrl":null,"url":null,"abstract":"目的 \n探讨儿童先天性心脏病(congenital heart disease，CHD)术后撤机失败的危险因素。 \n \n \n方法 \n回顾分析2016年1月至2017年1月行心内直视手术CHD患儿的临床资料，以术后撤离呼吸机72 h内需要再次上机为撤机失败，将纳入患儿分为撤机失败组与撤机成功组，比较两组患儿术前、术中和术后相关因素的差异，并采用Logistics回归分析撤机失败的危险因素。 \n \n \n结果 \n共纳入CHD患儿257例，撤机失败30例(11.7%)。撤机失败组与撤机成功组患儿在年龄、体重、合并气道畸形、合并21-三体综合征、术前机械通气(mechanical ventilation，MV)、先天性心脏病手术风险分级、体外循环时间、撤机前MV时间及撤机前并发呼吸机相关性肺炎的差异有统计学意义(P 7 d是撤机失败的独立危险因素。 \n \n \n结论 \n撤机失败在CHD术后患儿中并不少见；年龄 7 d的CHD患儿发生术后撤机失败的风险较高。","PeriodicalId":68901,"journal":{"name":"中国小儿急救医学","volume":"26 1","pages":"863-866"},"PeriodicalIF":0.0000,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk factors for extubation failure after congenital heart surgery\",\"authors\":\"Linhong He\",\"doi\":\"10.3760/CMA.J.ISSN.1673-4912.2019.11.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"目的 \\n探讨儿童先天性心脏病(congenital heart disease，CHD)术后撤机失败的危险因素。 \\n \\n \\n方法 \\n回顾分析2016年1月至2017年1月行心内直视手术CHD患儿的临床资料，以术后撤离呼吸机72 h内需要再次上机为撤机失败，将纳入患儿分为撤机失败组与撤机成功组，比较两组患儿术前、术中和术后相关因素的差异，并采用Logistics回归分析撤机失败的危险因素。 \\n \\n \\n结果 \\n共纳入CHD患儿257例，撤机失败30例(11.7%)。撤机失败组与撤机成功组患儿在年龄、体重、合并气道畸形、合并21-三体综合征、术前机械通气(mechanical ventilation，MV)、先天性心脏病手术风险分级、体外循环时间、撤机前MV时间及撤机前并发呼吸机相关性肺炎的差异有统计学意义(P 7 d是撤机失败的独立危险因素。 \\n \\n \\n结论 \\n撤机失败在CHD术后患儿中并不少见；年龄 7 d的CHD患儿发生术后撤机失败的风险较高。\",\"PeriodicalId\":68901,\"journal\":{\"name\":\"中国小儿急救医学\",\"volume\":\"26 1\",\"pages\":\"863-866\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国小儿急救医学\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2019.11.012\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国小儿急救医学","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1673-4912.2019.11.012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨儿童先天性心脏病(congenital heart disease，CHD)术后撤机失败的危险因素。方法回顾分析2016年1月至2017年1月行心内直视手术CHD患儿的临床资料，以术后撤离呼吸机72 h内需要再次上机为撤机失败，将纳入患儿分为撤机失败组与撤机成功组，比较两组患儿术前、术中和术后相关因素的差异，并采用Logistics回归分析撤机失败的危险因素。结果共纳入CHD患儿257例，撤机失败30例(11.7%)。撤机失败组与撤机成功组患儿在年龄、体重、合并气道畸形、合并21-三体综合征、术前机械通气(mechanical ventilation，MV)、先天性心脏病手术风险分级、体外循环时间、撤机前MV时间及撤机前并发呼吸机相关性肺炎的差异有统计学意义(P 7 d是撤机失败的独立危险因素。结论撤机失败在CHD术后患儿中并不少见；年龄 7 d的CHD患儿发生术后撤机失败的风险较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

Risk factors for extubation failure after congenital heart surgery

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

中国小儿急救医学

自引率

0.00%

发文量

6226

期刊介绍： Chinese Journal of Neurology was established in 1955, the predecessor of which is Chinese Journal of Neurology and Psychiatry. Chinese Journal of Neurology and Psychiatry has been indexed by MEDLINE until 1996, when it was divided into two journals, Chinese Journal of Neurology, and Chinese Journal of Psychiatry. Chinese Journal of Neurology is now indexed by EM, SCOPUS, AJ, WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 2.755 in 2017, ranking the first among all neurological and psychological journals in China and among all the 142 medical journals published by the Chinese Medical Association. The journal is available both in print and online.

期刊最新文献

The significance of pathogenic microorganism tests in infection determination Advances in the pathogenesis of severe adenovirus pneumonia in children The value and significance of imaging examination for infection and pathogen judgment Application of blood routine in the diagnosis of infectious diseases Preliminary determination of infection: clinical manifestations