小切口心脏不停跳下行房间隔缺损修补术98例报告  

Report on 98 Cases ASD Treated with Small Incision and Off-pump

作　　者：梁德刚 孙江滨 宋小玉 姜德哲 薛刚 张海彬 

机构地区：[1]牡丹江心血管病院,黑龙江牡丹江157000

出　　处：《黑龙江医学》2004年第11期846-847,共2页Heilongjiang Medical Journal

摘　　要：目的　探讨小切口心脏不停跳下房间隔缺损修补的可行性。方法　采用胸骨下端小切口与右腋下小切口入路 ,逐层进胸 ,显露心脏 ,分别采用直接缝合或补片修补。结果　 98例体外循环时间 18～ 5 1min ,平均 (30 5± 6 8)min ,气管插管时间 2 6～ 6 4h ,平均 (4 0± 0 8)h。拔管后病人全部清醒 ,术后胸腔引流 2 0～ 6 30mL ,平均 (16 0± 90 )mL。患者全部存活 ,无任何并发症。结论　小切口心脏不停跳下施房间隔缺损修补术 ,可行、方便、安全。Objective To discuss the feasibility of ASD repair with small incision and off-pump. Methods The small incision of lower sternum or right subaxillary was chosen and direct or patch repaired. Results The mean CPB time was 18～51 min (in average 30.5±6.8 min). The intubation time was 2.6～6.4 h (4.0±0.8 h in average) and all conscious after intubation. The thoracic drainage was 20～630 ml (in average 160±90 ml). All patients survived without complications. Conclusion This method of ASD repair with small incision and off-pump should be feasible and safe.

关 键 词：心血管外科学 小切口 心脏不停跳 房间隔缺损修补术 

分 类 号：R654.2[医药卫生—外科学]