摘要
目的总结采用右胸小切口进行心内直视术的治疗体会。方法本组 54例患者中房间隔缺损 (ASD) 17例 ,室间隔缺损 (VSD) 2 4例 ,法乐四联症 (TOF) 9例 ,心内膜缺损 (PECD) 4例 ,单心房 2例 ,均经右侧小切口剖胸治疗。结果全组无手术死亡。体外循环 30～ 12 0分钟 ,平均 ( 6 5.2± 3.5)分钟。主动脉阻断 10～ 12 1分钟 ,平均 ( 32 .3± 1.91)分钟。术后住院 6～ 15天 ,平均 ( 7.5± 1.50 )天。结论右外侧小切口剖胸应用于心内直视手术具有进胸、关胸快 ,手术时间短 ,胸液少等特点 ,且切口位置隐蔽 ,符合患者的美观要求 ,又不破坏骨性支架 。
Objective To sum up the experience of right thoracotomy intracardiac surgery . Methods Among 54 patients, 17 with atrial septal defect(ASD), 24 with ventricular spetal defect(VSD), 9 with Fallot′s Tetralogy, 4 with partial endocardial cushion defect, and 2 with uniatrial were treated by right thoracotomy intracardiac surgery. Results No operative death occurred. Cardiopulmonary bypass time was 65.2±3.46(30～120)min. Aortic cross clamping time was 32.3±1.91(10～121)min. Postoperative duration of hospitalization was 7.5±1.50(6～15)days. Conclusion Intracardiac operation through right mini thoracotomy appears to be less invasive, simple, safe and cosmetic, which can not damage the frame of bone, with no chicken breast or breast bone infection.
出处
《中国综合临床》
北大核心
2003年第3期261-262,共2页
Clinical Medicine of China
关键词
右外侧小切口
小儿
先天性心脏畸形
矫治术
Congenital heart disease
Heart defect,Congenital
Heart surgery operation
