完全性肺静脉异位引流围术期死亡危险因素分析

发布时间：2018-02-25 17:06

  本文关键词： 心脏缺损 先天性 危险因素 手术中并发症　出处：《中国循环杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:单纯性完全性肺静脉异位引流(TAPVC)术后围术期死亡危险因素分析。方法:回顾性分析1996-10至2012-12,我院共收治仅包括房间隔缺损、室间隔缺损和动脉导管未闭的TAPVC患儿563例,男性219例(40.8%),平均年龄(4.6±9.0)岁,平均体重(13.2±14.6)kg。将患儿分为死亡组(n=34)和存活组(n=529),进行单因素分析和多因素Logistic回归分析。结果:全组死亡34例(6.0%),死亡组较存活组,年龄≤1岁的患儿较多(P=0.008)、择期手术的比例较高(P=0.002)、体外循环时间(P=0.000)和主动脉阻断时间较长(P=0.001),差异均有统计学意义。多因素Logistic回归分析结果显示,年龄≤1岁(比值比=3.802,P=0.013)是TAPVC围术期死亡的独立危险因素,择期手术(比值比=0.234,P=0.027)是TAPVC围术期死亡的保护性因素。结论:年龄≤1岁是TAPVC围术期死亡的独立危险因素,择期手术是围术期死亡的保护性因素。
[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 卤9.0) years, average body weight (13.2 卤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，

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