本文關鍵詞： 心臟缺損 先天性 危險因素 手術中并發(fā)癥　出處：《中國循環(huán)雜志》2017年07期 　論文類型：期刊論文

【摘要】：目的:單純性完全性肺靜脈異位引流(TAPVC)術后圍術期死亡危險因素分析。方法:回顧性分析1996-10至2012-12,我院共收治僅包括房間隔缺損、室間隔缺損和動脈導管未閉的TAPVC患兒563例,男性219例(40.8%),平均年齡(4.6±9.0)歲,平均體重(13.2±14.6)kg。將患兒分為死亡組(n=34)和存活組(n=529),進行單因素分析和多因素Logistic回歸分析。結果:全組死亡34例(6.0%),死亡組較存活組,年齡≤1歲的患兒較多(P=0.008)、擇期手術的比例較高(P=0.002)、體外循環(huán)時間(P=0.000)和主動脈阻斷時間較長(P=0.001),差異均有統(tǒng)計學意義。多因素Logistic回歸分析結果顯示,年齡≤1歲(比值比=3.802,P=0.013)是TAPVC圍術期死亡的獨立危險因素,擇期手術(比值比=0.234,P=0.027)是TAPVC圍術期死亡的保護性因素。結論:年齡≤1歲是TAPVC圍術期死亡的獨立危險因素,擇期手術是圍術期死亡的保護性因素。
[Abstract]:Objective: to analyze the risk factors of perioperative death after simple complete anomalous pulmonary venous drainage (TAPVC). Methods: from October 1996 to December 2012, 563 patients with TAPVC, including atrial septal defect, ventricular septal defect and patent ductus arteriosus, were treated in our hospital. Two hundred and nineteen male patients (mean age: 4.6 鹵9.0) years, average body weight (13.2 鹵14.6kg) were divided into two groups: death group (n = 34) and survival group (n = 529). Univariate analysis and multivariate Logistic regression analysis were performed. Results: there were 34 cases of death in the whole group. There were significant differences in the number of patients aged less than 1 years with P0. 008, P0. 002, CPB 0. 000) and aorta clamping time (P < 0. 001). The results of multivariate Logistic regression analysis showed that there was no significant difference between the two groups, and there was no significant difference between the two groups (P < 0. 008, P = 0. 008, P < 0. 008). Age 鈮，

本文編號：1534413