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目的总结采用右胸小切口进行心内直视术的治疗体会。方法本组 54例患者中房间隔缺损 (ASD) 17例 ,室间隔缺损 (VSD) 2 4例 ,法乐四联症 (TOF) 9例 ,心内膜缺损 (PECD) 4例 ,单心房 2例 ,均经右侧小切口剖胸治疗。结果全组无手术死亡。体外循环 30～ 12 0分钟 ,平均 ( 6 5.2± 3.5)分钟。主动脉阻断 10～ 12 1分钟 ,平均 ( 32 .3± 1.91)分钟。术后住院 6～ 15天 ,平均 ( 7.5± 1.50 )天。结论右外侧小切口剖胸应用于心内直视手术具有进胸、关胸快 ,手术时间短 ,胸液少等特点 ,且切口位置隐蔽 ,符合患者的美观要求 ,又不破坏骨性支架 ,无鸡胸或胸骨感染
Objective To summarize the experience of using the right chest incision for open heart surgery. Methods A total of 17 patients with atrial septal defect (ASD), 24 patients with ventricular septal defect (VSD), 9 patients with tetralogy of Fallot (TOF), 4 patients with endocardial defects (PECD) Cases, both through the right small incision thoracotomy. Results All patients died without surgery. Cardiopulmonary bypass 30 ~ 12 0 minutes, an average of (6 5.2 ± 3.5) minutes. Aorta block 10 ~ 12 1 minutes, with an average (32.3 ± 1.91) minutes. Postoperative hospital stay 6 to 15 days, an average of (7.5 ± 1.50) days. Conclusion The right lateral small incision thoracotomy used in open heart surgery has the advantages of advanced thoracotomy, fast chest closing, short operative time, less pleural fluid, hidden incision position, in line with aesthetic requirements of patients without destroying bony stents, No chicken breast or sternal infection