CLINICAL OUTCOMES OF 22 PEDIATRIC PATIENTS WITH CONGENITAL HEART DISEASE MANAGED WITH MECHANICAL CIRCULATORY SUPPORT AFTER CARDIAC SURGERY

被引：0

作者：

傅惟定 ^{[1
]}

唐嘉忠 ^{[1
]}

沈佳 ^{[1
]}

周燕萍 ^{[1
]}

仇锋 ^{[1
]}

朱德明 ^{[1
]}

机构：

[1] Department of Thoracic and Cardiovascular Surgery,Shanghai Children’s Medical Center,Shanghai Jiaotong University School of Medicine

来源：

MedicalBulletinofShanghaiJiaotongUniversity | 2012年 / 24卷 / 01期

关键词：

congenital heart disease; mechanical circulatory support; pediatric patient;

D O I：

暂无

中图分类号：

R726.5 [小儿各生理系统外科学];

学科分类号：

100202 ;

摘要：

Objective To investigate the clinical outcomes of children with congenital heart disease(CHD)requiring extracorporeal membrane oxygenation(ECMO)and left ventricular assist device (LVAD)support after cardiac surgery.Methods A total of 22 patients with CHD who required postcardiotomy mechanical circulatory support between March 2004 and March 2011(85 months)were analyzed retrospectively.Median age of the patients was 420 d(15 d-4 years)and median weight was 3.4 kg(2-14.5 kg).Eight patients were put on ECMO,while 14 patients were placed on LVAD. Results Thirteen(59%)patients died and 9(41%)survived to discharge.In survivals,the duration of LVAD and the duration of ECMO were both shorter than those of nonsurvivals(P <0.05).The main complication was bleeding.Conclusion The earlier treatment and application of more advanced cardiac support devices for CHD patients are key factors for reducing complications.

引用

页码：22 / 25

页数：4

共 7 条

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傅惟定
张蔚
王伟
姜磊
沈佳
唐嘉忠
朱德明
[J]. 中华胸心血管外科杂志, 2011, (01)

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