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目的 通过加强对 31例先天性心脏病病人手术后的呼吸道管理 ,减少肺部并发症。方法 根据小儿呼吸道特点 ,分析引起肺部并发症的原因 ,抓住气管插管、呼吸机应用、吸痰时机和方法、肺部物理治疗、湿化温化气道、术前术后健康指导几个重要环节 ,控制肺部并发症。结果 31例患儿中由于加强了气管护理 ,发生 7例肺部并发症 ,经治疗全部痊愈 ,无一例死亡。结论 加强小儿先天性心脏病术后呼吸道管理是减少术后并发症 ,减少死亡率的有效方法
Objective To reduce pulmonary complications by strengthening respiratory management of 31 patients with congenital heart disease after surgery. Methods Based on the characteristics of respiratory tract in children, the causes of lung complications were analyzed. The tracheal intubation, ventilator application, timing and method of aspiration, physical therapy of the lungs, humidified airway, preoperative and postoperative guidance An important part of the control of pulmonary complications. Results Thirty-seven cases of pulmonary complications occurred in 31 patients due to the enhanced tracheal care. All patients were cured without any death. Conclusion Strengthening postoperative respiratory management in children with congenital heart disease is an effective way to reduce postoperative complications and reduce mortality