全胸腔镜下小儿先天性心脏病手术的体外循环体会  

Experience of Pediatric Congenital Heart Disease Undergoing Video-assisted Thoracoscopic Cardiac Surgery with Cardiopulmonary Bypass

作　　者：韦有全[1] 

机构地区：[1]广西钦州市第二人民医院麻醉科,广西钦州535099

出　　处：《医学信息》2012年第7期580-581,共2页Journal of Medical Information

基　　金：广西自然科学基金资助项目（项目编号：桂科自0542117）

摘　　要：目的总结全胸腔镜下小儿先天性心脏病手术的体外循环的管理方洛。方法全胸腔镜下小儿先天性心脏痛手术患者60例，对体外循环建立、管理及手术后结果进行评价。缩果体外循环时间为55-236（87，56±39．35）min，升主动脉阻断时闻36-198（65．50±25．66）min。所有患者手术过程顺利，术后恢复良好，无严重并发癌。缩论胸璧打孔体外循环下完全借助电视胸腔镜下行小儿先天性心脏病手术安全、可行；加强体外循环的管理是手术成功的重要因素。Objective To sum up the management methods of pediatric eongatlltal heart disease undergoing video-gastated thoracoseopic cardiac surgery with cardiopulmonary bypass. Methods 60 children patients with pediatric congenital heart disease undergoing video-assisted thoracoscopic cardiac surgery with cardiopulmonary bypass were undertakotl evaluation on the establishment of eardiopulmonary bypass, management and results after surgery. Results The cardiopulmonary bypass time was 55-236 （87.56±39.35） minutes, and the aortic cross-clamp time was 6-198 （65.50±25.66） minutes. The procedure of surgery for all patients was smooth and all recovered well without severe complications. Conclusion Pediatric congenital heart disease undergoing video-assisted thoraeoscopic cardiac surgery with cardiopulmonary bypass is safe and practicable; and strengthening management of cardiopulmonary bypass is the important factor for successful surgery.

关 键 词：全胸腔镜 小儿 先天性心脏病 体外循环 

分 类 号：R814.3[医药卫生—影像医学与核医学]