论文部分内容阅读
目的:探讨微创心脏外科(MICS)伞片封堵术在先心外(Congenital Heart Disease)手术及护理中应用的意义。方法:回顾分析2011年6～11月医院行单纯ASD或VSD手术132例根据手术方式的选择分为常规开胸修补术107例和MICS伞片封堵术25例,统计患儿的临床资料,包括住院病历及手术记录;应用配对样本的t检验对患儿的手术年龄、体质量、手术时间、监护室滞留时间、呼吸机辅助呼吸时间、胸引管引流量、术后住院时间进行统计分析,分析两种手术方式差异。结果:MICS微创外科封堵术在手术时间、胸引管引流量、呼吸机辅助时间、监护室时间、术后住院时间较常规心外科开胸手术差异有统计学意义(P<0.01),可以提高手术的效率,减少护理的工作量。结论:MICS伞片封堵术在术前的准备、术中的配合、术后的监护护理较常规心外手术具有优越性。
Objective: To investigate the significance of MICS occlusion in the operation and nursing of Congenital Heart Disease. Methods: Retrospective analysis from June to November 2011, 132 patients underwent simple ASD or VSD surgery were divided into routine open thoracotomy in 107 cases and MICS umbrella block in 25 cases. According to the clinical data of children, Including hospital records and surgical records; paired samples of t-test of children with operation age, body mass, operation time, care unit residence time, ventilator assisted breathing time, drainage of thoracic tubes, postoperative hospital stay for statistical analysis , Analysis of two surgical differences. Results: The minimally invasive surgical closure of MICS had statistically significant differences (P <0.01) compared with conventional cardiothoracic thoracotomy during operation time, drainage of thoracic duct, ventilator support time, care room time and postoperative hospitalization time. Can improve the efficiency of surgery, reduce the workload of nursing. Conclusion: MICS parachlomas occlusion is superior to conventional extracardiac surgery in preoperative preparation, intraoperative cooperation and postoperative nursing.