摘要
目的总结小切口心脏不停跳心内直视手术治疗先天性心脏病的优点。方法2001年1月至2005年2月共完成小切口心脏不停跳心内直视手术76例,包括房间隔缺损48例、室间隔缺损22例、肺动脉狭窄4例、单心房2例。合并畸形包括二尖瓣关闭不全、三尖瓣关闭不全、部分肺静脉异位引流等。结果本组患者体外循环时间(43.1±12.4)min,术后机械通气时间(3.0±1.1)h,术后引流量(3.2±1.5)ml/kg,术后住院(7.2±1.1)d。全组无1例死亡。所有患者随访14～65个月,无并发症。结论小切口剖胸矫治先天性心脏病具有创伤小、不破坏胸廓的完整性、切口隐蔽美观、恢复快等优点。
Objective To summarize the experience of mini-thoracotomy in the treatment of congenital heart disease with beating heart under normal temperature. Methods A total of 76 patients with congenital heart disease received minithoracotomy approach correction with beating heart under normal temperature between January 2001 and February 2005.The cardiac abnormalities includes 48 cases of atrial septal defect,22 cases of ventricular septal defect,4 cases of pulmonary stenosis and 2 cases of single atrium. Complicating anomalies were as follows： mitral insufficiency, tricuspid insufficiency, partial anomalous pulmonary venous connection,etc. Results All patients were followed-up from 14 months to 65 months. There was no operative or late mortality and no postoperative complications. The CPB time of the patients was（43.1± 12.4）min, and the postoperative average mechanical ventilation time was （3.0± 1.1 ）hours. The volume of average postoperative drainage was （3.2± 1.5）ml/kg, and postoperative hospital stay were （7.2± 1.1 ）d. Conclusion Mini-thoracotomy is minimally invasive, without impairing of integrity of the bony thorax. It gives excellent cosmetic appearance and makes the patients recover more faster. Normothermic cardiopulmonary bypass technique reduces the myocardial and pulmonary injury during operation, shortens the mean CPB time, which can simplify the operative procedure. Results are safe and effective.
出处
《中国心血管病研究》
CAS
2006年第12期893-895,共3页
Chinese Journal of Cardiovascular Research
关键词
心脏外科于术
心脏病/先天性
外科于术
最小侵入性
Cardiac surgical procedures
Heart diseases/congenital
Surgical procedures, minimally invasive
