心包积液患儿围术期不良事件的危险因素分析

发布时间：2018-03-20 05:18

本文选题：心包积液　切入点：全身麻醉　出处：《临床麻醉学杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的回顾性分析心包积液患儿围术期不良事件的影响因素。方法我院2009年1月至2014年7月手术治疗的心包积液患儿157例,麻醉期间不良事件定义为诱导后出现低氧、低血压或心律失常。应用单因素和多因素Logistic回归分析不良事件的危险因素。结果有38例(24.2%)患儿发生不良事件(A组),其中一般不良事件31例(81.6%),严重不良事件7例(18.4%)。A组术前合并胸腔积液、呼吸困难、奇脉、心房/心室压迫、较高ASA分级及入手术室时呼吸急促、心动过速、低氧、低血压明显多于无不良事件组(N组)(P0.05)。多因素Logistic回归分析显示,术前呼吸困难(OR=6.8,95%CI 1.4~12.4)、入手术室时低氧(OR=5.5,95%CI 1.1~15.9)、入手术室时低血压(OR=3.4,95%CI 1.2~9.1)及心房/心室压迫(OR=6.3,95%CI 1.8~22.1)是不良事件的独立危险因素。结论对存在危险因素的心包积液患儿应警惕其麻醉期间发生不良事件。
[Abstract]:Objective to analyze retrospectively the influencing factors of pericardial effusion in children with pericardial effusion. Methods from January 2009 to July 2014, 157 children with pericardial effusion were treated with pericardial effusion. The risk factors of adverse events were analyzed by univariate and multivariate Logistic regression analysis. Results there were 38 cases of adverse events in group A, including 31 cases of general adverse events and 7 cases of severe adverse events. Group A complicated with pleural effusion before operation, Dyspnea, abnormal pulse, atrial / ventricular compression, high ASA grade, shortness of breath, tachycardia, hypoxia and hypotension were significantly higher than those in group N without adverse events. Multivariate Logistic regression analysis showed that. Conclusion the risk factors of adverse events in children with pericardial effusion of risk factors are OR 6.895 CI 1.412.4, hypoxia 5.595 95 CI 1.1L 15.9, hypotension 3.495 CI 1.22.1) and atrial / ventricular compression 6.395CI 1.822.1). Conclusion the risk factors of adverse events in children with pericardial effusion may be related to the risk factors in children with pericardial effusions, and the risk factors may be higher in children with pericardial effusions than in children with cardiac effusion. Conclusion the risk factors of pericardial effusion in children with pericardial effusion should be considered as an independent risk factor for adverse events. Adverse events occur during anesthesia.
【作者单位】：重庆医科大学附属儿童医院麻醉科重庆市儿童发育疾病研究教育部重点实验室重庆市儿科学重点实验室重庆市儿童发育重大疾病诊治与预防国际科技合作基地;
【基金】：国家临床重点专科建设项目(国卫办医函[2013]544)
【分类号】：R726.1

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