摘要
目的对１３２例心脏不停跳心内直视手术临床应用的研究，探讨该手术的优点和意义。方法１９９５年７月～１９９７年１０月应用浅低温体外循环心脏不停跳心内直视手术行先心病矫治术１０９例，后心病瓣膜置换和（或）成形术２０例，心脏粘液瘤摘除术３例。术中不阻断主动脉，不灌注心停跳液，心脏有持续供血，术中缓慢跳动。结果术后１３０例治愈出院，术后早期死亡２例（１５％）。结论心脏不停跳心内直视手术，使心肌在手术中有持续供血，供氧，不存在再灌注损伤，最大限度降低心脏损伤。该手术方法是安全，可靠的。
Objective To study of experience in 132 patients with heart disease who had been performed the open heart procedures on a beating heart under mild hypothermica CPB. Methods 109 patients with congenital heart disease had been performed this procedure. There were 20 patients with rheumatic heart disease and 3 patients with left atrium myxoma who had been performed this procedure with not clamp aortic and not perfuse crystaloid cardioplegia There were enough blood supplied to the heart tissures, beating heart was through the precedure. Results 130 patients perfected result after operation and discharged from the hospital earlier than routinely, Two patients died soon after the procedure(1.5%). Conclusions The open heart procedure on a beating heart under mild hypothermia CPB can offter continue blood and oxygen, avoilding reperfusion injuries. This procedure can reduce injuries of heart tissures at most, and a new, safe approach for heart surgery.
出处
《云南医药》
CAS
1999年第1期5-6,共2页
Medicine and Pharmacy of Yunnan
