摘要
目的探讨小儿全胸腔镜心脏手术方法在小儿先天性心脏病手术中的应用效果。方法22例先天性心脏病患儿,年龄3～7岁,平均年龄(5.4±2.1)岁,房间隔缺损16例,室间隔缺损6例,采用全胸腔镜下经股动脉、股静脉插管建立体外循环,完全在胸腔镜下行房间隔和VSD修补。结果22例患儿体外循环时间58～142 min,平均(87.9±21.3)min,主动脉阻闭时间17～52 min,平均(20.2±18.3)min;开放升主动脉后心脏均自动复跳。术后均无重要并发症,5～7 d痊愈出院。结论全胸腔镜下心脏手术方法在小儿心脏病的治疗安全可靠,切口美观。
Objective To review our experience of thoracoscopic surgery for the congenital heart diseases in children. Methods Twenty two children with an average age of 5. 4 years （3--7 years） suffering from congenital heart diseases underwent the thoracoscopic operations. There were 16 arterial septal defects （ASD） and 6 ventricular septal defects （VSD）. The children were put on cardiopul- monary bypass （CPB）. ASD and VSD were repaired thoracoscopically. Results The cardiopulmonary perfusion time was 87. 9 minutes （range： 58-142 minutes） and the cross-clamping time was 20. 2 minutes （ranges： 17-52 minutes）. The heart resumed beating after removal of the aortic clamp. There was no complication. Conclusions ASD and VSD in children can be repair safely thoracoscopically.
出处
《中华小儿外科杂志》
CSCD
北大核心
2007年第8期401-402,共2页
Chinese Journal of Pediatric Surgery
基金
十五科技攻关计划课题资助(基金编号:2004BA720A12)
关键词
胸腔镜
心脏外科手术
Thoracoscopes
Cardiac surgical procedures
