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1996年1月我们采用右前外剖胸小切口行室间隔缺损直视修补手术治疗2例,现报道如下。例1,女,10岁,因发现心前区杂音10年入院。平素身体健康,活动无受限。查体:心脏听诊于胸骨左缘3、4肋间可闻及三级喷射性收缩期杂音。心电图示:窦性心律,正常心电图。超声心动图检查示:室间隔膜部缺损直径3～4mm,左向右分流。诊断:先天性心脏病室间隔缺损。1996年1月在全麻低温体外循环下,采用右前外剖胸小切口行室间隔缺损直视修补术。方法如下:(1)切口于右锁骨中线于右腋前线之间,沿胸大肌下缘作
January 1996 we use the right anterior lateral thoracostomy incision ventricular septal defect repair surgery in 2 cases, are reported below. Example 1, female, 10 years old, because of the discovery of precordial murmur 10 years admitted. Normal physical health, activities are not limited. Physical examination: auscultation of the heart on the left sternal border 3,4 intercostal can be heard and three jet systolic murmur. ECG shows: sinus rhythm, normal ECG. Echocardiography showed: ventricular septal defect diameter of 3 ~ 4mm, left to right shunt. Diagnosis: Congenital heart disease ventricular septal defect. January 1996 under general anesthesia with hypothermic cardiopulmonary bypass, the right anterior thoracotomy small incision line ventricular septal defect repair. The method is as follows: (1) Incision in the right clavicular midline between the right axillary line, along the lower edge of the pectoralis major