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目的:观察比较右腋下小切口与胸骨正中切口治疗儿童先天性心脏病的效果。方法:选择儿童先天性心脏病160例,随机分为右腋下小切口组与胸骨正中切口组各80例。比较两组手术时间、体外循环时间、主动脉阻断时间、术后住院时间、术后辅助通气时间、术后引流量、术后监护时间、输血量及术后不良反应发生情况。结果:右腋下小切口组术后住院时间、术后辅助通气时间、术后引流量、术后监护时间和输血量均显著短(少)于胸骨正中切口组(P<0.05),手术时间、体外循环时间及主动脉阻断时间两组差异不显著(P>0.05)。两组不良反应发生率差异不显著(P>0.05)。结论:右腋下小切口治疗儿童先天性心脏病的效果优于胸骨正中切口。
Objective: To observe the effect of comparing the right axillary incision with the midsternal incision in children with congenital heart disease. Methods: One hundred and sixty children with congenital heart disease were selected and randomly divided into two groups: small right incision group and mid-incision group. The operation time, cardiopulmonary bypass time, aortic cross-clamping time, postoperative hospital stay, postoperative auxiliary ventilation time, postoperative drainage volume, postoperative monitoring time, blood transfusion and postoperative adverse reactions were compared. Results: The length of postoperative inpattern, postoperative assistant ventilatory time, postoperative drainage, postoperative monitoring time and blood transfusion in the right axillary incision group were significantly shorter (less) than that in the median sternotomy group (P <0.05) , Cardiopulmonary bypass time and aortic block time were not significantly different between the two groups (P> 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusion: The right axillary small incision in children with congenital heart disease better than the median incision.