探讨先天性心脏病（CHD）合并腹股沟斜疝患儿同期联合手术的围术期处理措施，并分析主要术后指标。

回顾性分析2015年6月至2019年12月于首都儿科研究所附属儿童医院同期行CHD及腹股沟斜疝联合手术11例男性患儿的资料。中位年龄为23个月（18.5，26.5）个月，中位体质量为11.5 kg（9.5，13.3）kg。总结手术时间、术后呼吸机辅助时间、术后监护室滞留时间、切口愈合情况、术后胃肠减压时间、术后并发症发生情况、住院总时间、住院总费用等资料。

11例患儿，手术时间200 min（193，225）min，术后呼吸机辅助时间5 h（4，7）h，监护室滞留时间21 h（21，33）h，术后胃肠减压时间19 h（18，22）h，患儿住院总时间12 d（9，14）d，住院总费用52 348元（45 821，54 817）元。1例患儿呼吸机辅助时间>24 h，监护室滞留时间>48 h且费用超过10万元，3例患儿住院总时间超过14 d。所有患儿手术切口均甲级愈合且均无术后并发症发生。

对于CHD合并腹股沟斜疝的患儿，同期手术安全可行，值得临床应用。但同期联合手术需在多学科团队协同下并充分做好个体化评估。

To summarized the perioperative management measures and main postoperative data of the one-stage surgery of congenital heart disease (CHD) with inguinal hernia.

We analyzed the data of the children (n=11) who received one-stage surgery of CHD and indirect inguinal hernia in Children's hospital of capital institute of pediatrics from June 2015 to December 2019. All of the 11 children were boys, with a median age of 23 months (18.5 to 26.5 months) and a weight of 11.5 kg (9.3 to 13.3 kg). The total operation time, the ventilator assistance time, ICU stay time, wound healing and complications, postoperative gastrointestinal decompression, total hospitalization time, and total hospitalization cost were record.

The median operation time was 200 minutes (193 to 225 minutes). The ventilator assistance time was 5 hours (4 to 7 hours). And the ICU stay time was 21 hours (21 to 33 hours), postoperative gastrointestinal decompression was 19 hours (18 to 22 hours). The total hospitalization time was 12 days (9 to 14 days), and total hospitalization cost was 52 348 yuan (45 821 to 56 817 yuan). One patient had the ventilator assistance time more than 24 hours and the ICU stay time was more than 48 hours, the hospitalization time was more than 14 days, and the cost was more than 100 000 CNY. All the surgical incisions healed in Grade A.

With the support of multi-disciplinary team and the premise of preoperative evaluation, the one-stage surgery of congenital heart disease with inguinal hernia is safe and feasible, and it is worthy of clinical application.