Abstract：Objective To evaluate the causes, treatment and outcome of cardiac tamponade or compression and heart beat arrest after open heart surgery in children. Methods Eighteen cases of cardiac tamponade or compression and heart beat arrest underwent open chest treatment at bedside in ICU. Cardiac tamponade caused by bleeding was found in 7, nonbleeding cardiac compression in 6, acute blood volume reduction in 2,and heart beat arrest due to arrhythmia in 3. Cardiac tamponade and heart beat arrest in 14 patients occurred within 4 hours postoperation.Results The initial stage of resuscitation in all cases was successful. Fifteen survivors were well recovered without any complication. Three patients died of uncontrollable heart failure. Conclusions The satisfactory result may be obtained by the bedside open chest emergency treatment of cardiac tamponade, compression or cardiac arrest after cardiac operation.
LI Jian-Hua,XIA Cheng-Sen,ZHANG Ze-Wei et al. Open chest rescue for sudden arrest of heart and circulation in children undergone heart surgery[J]. CJCP, 1999, 1(2): 109-110.
