论文部分内容阅读
目的 报告一组小儿先天性心脏病采用微创切口手术治疗的经验。方法 全组 5 6例病儿中继发孔房间隔缺损 (ASD) 2 5例 ,室间隔缺损 (VSD) 2 6例 ,右室双腔心 (DCRV) 2例 ,肺动脉狭窄 (PS) 3例。右前外侧小切口不停跳、不阻断主动脉心内直视手术 2 3例 ,胸部正中小切口 33例。结果 除 1例因术中显露差改作常规切口 ,全组 5 6例无手术死亡 ,无严重并发症。病儿术后恢复快 ,平均住院时间 8d。结论 微创切口小儿心内直视手术创伤小、美观、痛苦少、恢复快、住院时间短、安全有效 ,尤其适应于继发孔房缺及膜部或膜周室缺修补手术。
Objective To report a group of children with congenital heart disease using minimally invasive incision surgery experience. Methods Twenty-five children with ASD were enrolled in the study. Twenty-five ASDs, 26 VSDs, 2 DCRVs and 3 PS were included in this study. . Small anterior lateral incision does not stop, does not block the aortic heart surgery 23 cases, 33 cases of small incision in the chest. Results In addition to a case of routine incision due to the difference revealed for surgery, the whole group of 56 cases without surgical death, no serious complications. Sick children recover quickly, the average length of stay 8d. Conclusion The minimally invasive incision in children with open heart surgery has the advantages of less trauma, beautiful appearance, less pain, quicker recovery, shorter hospital stay, and more safety and effectiveness, especially for the repair of secondary hypothyroidism and membranous or peri-ventricular defect.