摘要:目的 探讨婴幼儿体外循环心内直视术后并发症特点及其死亡原因。 方法 回顾分析416例先天性心脏病婴幼儿的临床资料。 结果 416例婴幼儿体外循环心内直视术后肺部并发症75例，低心排28例，急性肾功能衰竭5例，消化道出血8例，脑部并发症:昏迷1例、蛛网膜下腔出血2例。死亡21例，死亡率5.0%;以死于低心排综合征的婴幼儿比例最高(57.1%)，其次是呼吸功能衰竭、肾功能衰竭。 结论 婴幼儿体外循环心内直视术后的并发症及死亡率与体外循环有着密切关系，因此在提高婴幼儿各种先心病矫治技术的同时应加强体外循环心脏手术中的心肺保护效果。

    关键词:体外循环;死亡率;并发症;婴幼儿

    Analysis of complications in infants and babies after open hear surgery under cardiopulmonary bypass.

    CHEN Hai-sheng，CHEN Jing-wei，XIAN Ming-hai，et al.

    (Gaozhou Municipal People's Hosptial，Gaozhou525200，Guangdong，P.R.China)

    Abstract:Objective To analyze the characteristic of complication and death causes for416cases infants and babies treated with open-heart surgery by cardiopulmonary bypass(CPB). Methods The clinical data concerning treatment of416infant and baby cases with congenital heart disease(249male cases and167female cases aged1～36months(average was13.1±9.3months). Results Of the416cases treated with open-heart surgery by cardiopulmonary bypass ......