Infants with congenital heart disease perioperative detection and analysis of arterial blood lactate.docVIP

 PAGE \* MERGEFORMAT 11 Infants with congenital heart disease perioperative detection and analysis of arterial blood lactate Of: Li-Li Wu, Duan Wen-yuan, Wang Zhenxiang, Duan Hai Van, Jiang Yiyan, Juji Feng, especially peak, Dong Kai [Abstract] Objective To observe the infants with congenital heart disease surgery changes of arterial blood lactate to explore their infants with congenital heart disease surgery. Methods in January 2007 to June 2007 infants with congenital heart disease 105 patients, continuous observation of anesthesia, cardiopulmonary bypass surgery in the arterial blood within 48 h after the end of lactic acid. Results 105 patients arterial blood lactate to the cardiopulmonary bypass from the end of anesthesia showed a continuous upward trend shutdown to pump shutdown the highest. In the continuous detection of the data, any point in time, such as blood lactate concentrations higher than found in 5.6 mmol / L, the patient may suggest a poor prognosis. Conclusions Bank of infants with congenital heart disease surgery for dynamic monitoring of arterial blood lactate clinical provide a reliable predictor of effective [Keywords:] Infant; congenital heart disease; lactic acid Abstract: OBJECTIVE To observe the changes of lactic acid concentration of artery blood during coronary heart disease (CHD) operation of infants and to evaluate its effect in the CHD operation. METHODS One hundred and five CHD cases from January 2007 to June 2007 were reviewed. The artery blood samples were collected after anesthesia, CPB on, CPB off and 48 hours after operation. The lactic acid concentration of artery blood was observed continuously. RESULTS In all one hundred and five cases, patient’s lactic acid concentration of artery blood increased gradually from anaesthesia to end of CPB. It reached the highest level at end of CPB. If the lactic acid concentration of artery blood is higher than 5.6 mmol / L at any time during the operation, a bad prognosis of