完全胸腔镜辅助下心脏手术16例临床分析  

The clinical analysis of 16 cardiac surgeries cases totally assisted with thoracoscopes

作　　者：罗永金[1] 杨庆军[1] 严宇[1] 陈灏 吴洪坤[1] 余杨[1] 喻鹏凌[1] 

机构地区：[1]重庆市中山医院心外科,400013

出　　处：《重庆医学》2012年第28期2917-2918,2921,共3页Chongqing medicine

摘　　要：目的回顾性分析16例完全胸腔镜辅助下心脏手术的临床疗效。方法采用右侧股动脉插动脉泵管,右侧股静脉插静脉管建立体外循环,主动脉根部顺行灌注冷血停跳液保护心肌,在右侧胸壁打3孔完成心脏手术16例。结果升主动脉阻断时间32～110min,平均(69.9±33.5)min,体外循环时间65～200min,平均(126.3±51.5)min,胸腔引流量50～220mL,平均(135.0±64.8)mL,全组无死亡病例,均顺利完成手术。结论胸腔镜下心脏手术创伤小、恢复快、疼痛轻、术后引流少。Objective To analyse the clinical experience through 16 cardiac surgeries cases totally assisted with thoracoscopes m our center. Methods To establish extracorporeal circulation by inserting artery pump tubes into the right femoral artery and vein tubes into the right femoral vein. Cold blood cardioplegia was perfused antegradely through the aortic root in order to protect the myocardium. 16 cardiac surgeries were implemented by perforating 3 holes through the right chest wall. Results The blocking du- ration of the ascending aorta ranged from 32 to 110 min,and the average level was（69.9±33.5）min. The duration of extracorporeal circulation ranged from 65 to 200 min,and the average level was（126.3 ± 51.5）rain. The amount of thoracic drainage ranged from 50 to 220 mL,and the average level was（135.0±66.8）mL. No death cases were reported. Conclusion Cardiac surgeries assisted with thoracoscopes have advantages of less injury, rapid discovery,light pain, and less postoperative drainage.

关 键 词：胸腔镜 体外循环 胸外科学 

分 类 号：R654.2[医药卫生—外科学]