Children with congenital heart disease perioperative respiratory care.docVIP

 PAGE \* MERGEFORMAT 9 Children with congenital heart disease perioperative respiratory care Keywords: heart disease With congenital heart disease is the period of fetal developmental disorders caused by cardiovascular disease, surgery is the most effective treatment, children with congenital heart disease before and after the respiratory care is a direct impact on prognosis of the main factors. At the stage of growth and development in children, anatomical physiological and immune function is not sound, coupled with off-pump surgery, surgery and other trauma, prone to respiratory complications, before and after surgery active respiratory management is prevention and treatment of postoperative pulmonary concurrent disease, major initiatives. Now admitted to our department from 2006 to 116 children with congenital heart disease before and after surgery of the respiratory management experience are summarized below. A clinical data A total of 116 cases of patients in this group, male 75 cases, female 41 cases; year (months) age from 4 months to 15 years old, weighing 5 ~ 52 kg. Diseases including 32 cases of atrial septal defect, ventricular septal defect in 40 cases, 13 cases of patent ductus arteriosus, tetralogy of Fallot in 25 cases, pulmonary stenosis in 1, total anomalous pulmonary venous drainage in 2 cases, endocardial cushion defect 3 cases. 2 cases of death were severe tetralogy of Fallot and complete endocardial cushion defect, the rest were cured and discharged. 2 Respiratory Care 2.1 before surgery (1) patients admitted to hospital should observe whether there are upper respiratory infections or signs of lung infection and, if infected with the need for preoperative control of respiratory tract infection or lung infection until complete healing 1 week after the surgical. (2) 1 week before surgery began coughing and deep breathing and effective training. (3) The daily timing of preoperative low-flow oxyg