[Peri-operative management of infants undergoing open heart surgery].
OBJECTIVE
To summarise the experience of peri-operative management of infants undergoing open heart surgery.


METHODS
Clinical data of 206 infants undergoing open heart surgery were analyzed retrospectively. The patients aged from 20 days to 3 years.The weight was 3~18(9.60+/-2.75)kg.Altogether 149 patients were found non-cyanotic and 57 with cyanotic heart diseases.Radical operation was performed on 204 patients with the exception of two by palliative operation.


RESULTS
The mortality was 4.85%(10/206) and the incidence of early complications was 13.6%(28/206).


CONCLUSIONS
Early surgical treatment was crucial to infants with congenital heart disease at an appropriate time.To improve the operative and CPB techniques, to strengthen the management of postoperative respiratory and circulatory system, attention to the protection of vital organs, and nutrition support for infants are all keys to the success of heart surgery.
Department of Cardiothoracic Suergery, Xiangya Hospital, Central South University, Changsha 410078,China. memo_xy@163.com
Yang
Y
Yang
Long
L
Long
Shengxi
S
Chen
Wanjun
W
Luo
D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007431:Intraoperative Complications; D008297:Male; D019990:Perioperative Care / Q000379:methods*; D012189:Retrospective Studies; D013771:Tetralogy of Fallot / Q000601:surgery