摘要
目的 :探讨胸壁打孔电视胸腔镜心脏手术方法在小儿先天性心脏病手术中的应用效果。方法 :62例先天性心脏病患儿 ,房间隔缺损 1 6例 ,室间隔缺损 46例膜周部室间隔缺损患者 ,采用胸壁打孔经股动脉、股静脉和上腔静脉插管后股动脉 ,股静脉插管建立体外循环 ,完全在胸腔镜下行房间隔和室间隔缺损修补。结果 :62例患儿体外循环时间 (78.5± 2 3)min ,主动脉阻闭时间 (2 8.5± 1 2 .7)min ,开放升主动脉后心脏均自动复跳。除 1例患者因术后残余漏而再次体外循环外手术外 ,其他患者手术顺利 ,术后无并发症并痊愈出院。结论
Objective:To evaluate the effect of thoracoscopic to treatment congenital heart disease for children with cardiopulmonary bypass (CPB) by making holes on chest wall.Methods:Sixty-two children were diagnosed congenital heart disease (include ventricular septal defect (VSD) 46 cases, arterial septal defect (ASD)16 cases). The CPB was set up by the right femoral artery, femoral venous and the superior vena cava or the right femoral artery and femoral venous double-lumen tube.Repaired ASD and VSD with thoracoscopic underwent CPB.Results:For sixty-two children ,the cardiopulmonary perfusion and cross-clamp time were (78.5 ± 23.1 ) min and ( 28.5 ±15.7) min. All children's heart beating by itself after open the aorta clip.Besides one patient was made the CPB again, all children's operation was successfully,no complication, all children discharge.Conclusions:It was safety and dependable with thoracoscopy to repair ASD and VSD underwent CPB for children.
出处
《中国内镜杂志》
CSCD
2003年第8期7-8,11,共3页
China Journal of Endoscopy
关键词
电视胸腔镜
心脏手术
体外循环
小儿
先天性心脏病
Thoracoscopic
Operation On Heart
Cardiopulmonary Bypass
Children
Congenital Heart Disease
