小儿法洛四联症根治术后ICU滞留危险因素分析.PDFVIP

( Ch in H eart J) 2009, 21( 4) 557 ICU 李胜利, 王 旭, 贺 彦, 刘迎龙, 李守军, 闫 军 (, 100037) : ( Tetralogy of Fallot, TOF) ICU , 2007 1~ 2008 6 329 TOF, ICU , I ICU 7 d, II ICU 7 dNa ata , , Logistic ICU 45, ICU , , I 3, 1% ; II 5, 11% (,P 001), , ICU , , Na ata, , , , Logistic: 6, 2 2 Na ata 140 mm /m , 150 m in TOF ICU , Na ata ICU : 心脏病, 先天性; 儿童; 法洛四联症; 重症监护室; 危 因素 : R541. 1 : A : 2009) 0455703 Risk factors for prolonged stay in intensive care unit in children with tet ralogy of Fallotundergoing corrective surgery LI Shengli, WANG X u, HE Yan, LI U Yinglong, LI Shouj un, YAN Jun ( Department of Surgery, FuwaiHospital, Ch ineseAcademy ofM edical Sciences and Pe ingUnionM edical College, Beijing 100037, Ch ina) Abstract AIM: To analyze the ris factors for prolonged stay in intensive care unit ( ICU ) after correc tive surgery for tetralogy of Fallot (TOF). METHO S: Bewt een January 2007 and June 2008, 329 con secutive patientsw ithTOF undergoing corrective surgery w ere divided into two groups based on the length of stay in ICU. Prolonged stay in ICU w as defined as 7 days or more. G roup I was comprised of 284 patientsw ith no prolonged ICU stay. G roup II w as comprised of 45 patients w ith prolonged ICU stay. Un iand multivariate analysisw ere used to identify ris factors. RESULTS: Un ivariate analysis show ed that group II subjectsw ere younger and the Na ata index w as low er compared w ith those in group I. V entilation tmi e, bypass tmi e, clamping tmi e, presence of transannu lar patch and rate of infection w ere longer or h igher in group II than in group I. Logistic regression show ed that ris factors for prolonged ICU