Infant tetralogy of Fallot Management of cardiopulmonary bypass radical mastectomy.docVIP

 PAGE \* MERGEFORMAT 4 Infant tetralogy of Fallot Management of cardiopulmonary bypass radical mastectomy [Abstract] Objective To investigate the infant tetralogy of Fallot (TOF) of the cardiopulmonary bypass (CPB) management. Methods 78 cases of infants and young children TOF to analyze its radical surgery of the CPB, including hemodilution, perfusion and management. Results CPB time (96.6 ± 36.5) min (65 ~ 154 min), aortic cross-clamping time (59.7 ± 26. 4) min (25 ~ 86 min), of which 20 cases of deep hypothermia, low-flow perfusion time of 20 ~ 70 min, circulatory arrest in 8 cases, the time 12 ~ 40 min; have 70 cases of using the traditional method of ultrafiltration, filter out the liquid (250.1 ± 128.3) mL. Bypass in hematocrit (HCT) 23% ~ 28%, stopping when the HCT was 28% ~ 33%. 80% of the automatic re-jump, stopping smoothly, and patients completed all the safe return to ICU. There are 7 cases of postoperative low cardiac output syndrome (LOS), incidence 8.97%; 6 died, the mortality rate 7.69%. Conclusion infants TOF surgery CPB management should be applied at a moderate blood dilution and colloidal pre-charge, choose matching perfusion and surgical methods to shorten the CPB time, routine use of aprotinin, the application of ultrafiltration, pay attention to intraoperative cerebral lung protection, reduction of LOS occurred. [Keywords:] cardiopulmonary bypass ultrafiltration Tetralogy of Fallot Thoracic Surgery Along with raising the level of surgical operations and cardiopulmonary bypass (CPB), postoperative care technology improvements, infant tetralogy of Fallot (TOF) operation early mortality dropped significantly. The author summarized 78 cases of infants and young children TOF surgery CPB management experience. 1 Data and methods 1.1 General information in January 2003 ~ June 2006 I sections were treated infants TOF 78 cases, male 46 cases, female 32 cases, age (14 ± 12) months (2 ~ 30 months), body mass (8.1 ± 4.5) kg (3.5 ~ 12 kg); p