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Kết quả phẫu thuật tim hở ở trẻ em dưới 5 kg tại Bệnh viện Trung ương Huế
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Abstract
Objectives: Evaluation of open cardiac surgery outcome of infants with body weight below 5kg on five years, from January 2009 to March 2014.
Methods: A retrospective review was performed for all infants below 5kg who underwent open cardiac surgery at Hue Central Hospital from January 2009 to
March 2014.
Results: In total of 2072 congenital heart diseases were operated, the number of infants below 5kg was 235 cases, 11,34%, in which 43% male, 57% female. The mean age was 120 ± 97,09 days, the mean weight was 4,5 ± 0,66 kg. The most disease was operated was VSD with 189 cases (80,5%). The different diseases included DORV (3,4%), TGA (3,4%), AVSD (2,9%)…. the mean operation time was 180 ± 75,74 minutes, the mean bypass time was 75 ± 42,03 minutes, the mean cross clamps time was 44 ± 29,08 minutes and the mean ventilation time was 48 ± 215,78 hours. The mean ICU length of stay was 6 ± 7,85 days. The overall mortality rate after operation was 5,9%. The main cause of deaths was low cardiac output syndrome (73,3%). The longest stay in ICU was post-operation of TGA (11,5 ± 2,34 days) and the lowest stay in ICU was post-operation of ASD ( 3 ± 2,3 days).*
Conclusion: The overall mortality rate of open cardiac surgery was 5,9%. The more complex cardiac disease, the more high mortality rate. The main cause of death after open cardiac surgery was low cardiac output syndrome.
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Keywords
Phẫu thuật tim hở, tim bẩm sinh, dưới 5kg...
References
www. http://nhp.org.vn/show.aspx?cat=022&nid=1760.
2. Thạch Lễ Tín và cs (2011), “ Khảo sát các biến chứng thường gặp sau phẫu thuật tim hở tại khoa hồi sức bệnh viện nhi đồng 2 từ tháng 2/2010 đến tháng 1/2011”, Tạp chí y học Thành Phố Hồ Chí Minh, số 15, tr16 – 20.
3. Ngọ Văn Thanh, Nguyễn Lân Hiếu, Nguyễn Văn Mão và cs (2011), “Đánh giá áp lực động mạch phổi giai đoạn chu phẫu trên bệnh nhân tim bẩm sinh tăng áp động mạch phổi nặng”, www.phauthuattim.org.vn.
4 . Ngọ Văn Thanh, Nguyễn Lân Hiếu, Nguyễn Văn Mão, Hà Mai Hương, Ngô Chí Hiếu, Nguyễn Xuân Tuấn, Vũ Thục Phương (2010),“Tăng áp phổi trong bệnh lý tim bẩm sinh trẻ em”, Chuyên đề Tim Mạch Học, NXB y học, tr 8-14.
5. Hồ Huỳnh Quang Trí, Phạm Nguyễn Vinh (2002), “Hội chứng giảm cung lượng tim cấp sau phẫu thuật tim hở: vai trò của siêu âm qua thành ngực trong chẩn đoán và xử trí”, Tạp chí y học Thành Phố Hồ Chí Minh, tập 6, pp: 41- 46.
6. Nguyễn Lân Việt, “ Hội chứng eisenmenger ”,Thực hành bệnh tim mạch, NXB y học, tr 605-21.
7. Amir A, Ghaferi, John D., Birkmeyer and Justin B.D(2009), “ Variation in hospital Mortality associated with inpatient surgery”, N Engl J Med, 361, pp:1368-75.
8. Kansy A , Tobota Z, Maruszewski P, Maruszewski B(2010), “Analysis of 14,843 neonatal congenital heart surgical procedures in the European Association for Cardiothoracic Surgery Congenital Database”, Ann Thorac Surg, 89(4), pp:1255-9.
9. Danielle S. Burstein, Jeffrey P.Jacobs, Jennifer S. Li, Shubin Sheng, Sean M., et al (2011), “Care models and Associated Outcomes in Congenital Heart Surgery”, Pediatrics, pp:1482-1489.
10. Konstantinos Dimopoulos, Ana Peset, Michael A. Gatzoulis (2008), “Evaluating operability in adults with congenital heart disease and the role of pretreatment with targeted pulmonary arterial hypertension therapy”, International journal of cardiology 129; pp 163-71. 11. Matthias Gorenflo, Hong Gu, Zhuoming Xu, “Peri-Operative pulmonary hypertension in paediatric patients: Current strategies in children with congenital heart disease”, Cardiology 2010, 116, pp: 10-17.
12. Ricardo A.M, Victor V.M, Eduardo M.D et al (2010), “Critical Care of children with heart diseases”, Springer, pp: 103-120.
13. Sara K.P, Jennifer S.L, Danielle S.B, Shubin S, Sean M.O, Marshall L.J et al (2012), “Association of center volume with mortality and complication in pediatric heart surgery”, Pediatrics,129, pp: 370-6.