右腋下切口心脏不停跳术在小儿先天性心脏外科的应用  

作　　者：陈兵[1] 张骏[1] 陆中原[1] 李雄伟[1] 朱震[1] 陈昱[1] 

机构地区：[1]解放军第117医院胸心外科,杭州310013

出　　处：《浙江临床医学》2010年第9期916-917,共2页Zhejiang Clinical Medical Journal

摘　　要：目的报告右腋下切口心脏不停跳术在小儿先天性心脏外科的应用。方法65例患者均采用右侧腋中线切口长约8～12cm，经第3或4肋间进胸，在心脏跳动下行房间隔缺损修补术32例，室间隔缺损修补术26例，法乐三联症矫治术5例，肺动脉瓣狭窄成形术2例。结果全组无围手术期死亡，无空气栓塞所致的并发症。1例ASD患者术后左肺不张。所有患者出院前复查心脏彩超检查结果满意。结论右腋下切口心脏不停跳术治疗小儿先天性心脏病简化了操作程序，最大限度地避免了再灌注损伤；切口隐蔽，无胸部的畸形愈合及钢丝残留，减轻了患者的心理负担。Objective To study the application of beating heart operation via right subaxilary incision in paediatric congenital heart diseases. Methods The incision through right middle axillary line with 8 - 12 centimeters was made to enter the chest at the 3 or 4 intercostal space. 65 cases beating heart operation were performed, which included 32 cases of atrial septal defect（ ASD）, 26 cases of ventricular septal defect （ VSD）, 5 cases of trilogy of Fallot （ F3 ） and 2 cases of pulmonary stenosis （PS）. Results None was dead in operation. 1 case of ASD suffered from ateleetasis after operation. Echocardiography study displayed that the malformation had been corrected in all patients. Conclusions The beating heart operation via right subaxilary incision simplify theprocedure and avoid reperfusion injury maximally. It also has not steel remains and thorax malformation with coverded incision, and release the mental disorder of patients.

关 键 词：心脏外科手术 心脏不停跳 微创手术 

分 类 号：R725.411[医药卫生—儿科]