摘要
目的 通过右腋下直切口治疗先天性心脏病可以达到创伤小、疼痛轻、美观的目的。 方法 本组40例患者中,进行单纯型继发孔房间隔缺损修复18例,房间隔缺损并二尖瓣关闭不全修复3例,室间隔缺损修复15例,法洛四联症心内根治术2例,心内型完全性肺静脉异位引流和部分房室管畸形修复各1例。 结果 全组无手术死亡。体外循环时间18～66分30秒,主动脉阻断时间为3～52分;术后6～12天出院。
Objective To operate on patients with congenital heart diseases through the right subaxillary minithoracotomy incision leading to minimal trauma and pain and better cosmetic effect. Methods This approach was performed on 40 patients including 18 for ostium secundun defect closure, 3 for atrial septal defect closure and repair of mitral incompetence, 15 for ventricular septal defect closure, 2 for surgical treatment of tetralogy of Fallot, 1 for repair of abnormalous pulmonary venous connection of tracardiac type and 1 for repair of partial atrioventricular septal defect, respectively. Results There was no operative deaths. Cardiopulmonary bypass time were 18 to 66 minutes and 30 seconds,aortic cross clamping time were 3 to 52 minutes. Postoperative duration of hospital stay were 6 to 12 days. Conclusion Open heart operation performed through right subaxillary incision appear to get an excellent operative or clinical results.
出处
《中国胸心血管外科临床杂志》
2000年第1期10-11,共2页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
右腋下直切口
先天性心脏病
微创伤
治疗
Right subaxillary minithoracotomy Congenital heart disease Minimal trauma
