心脏不停跳下先心纠治术的临床分析

目的：探讨心脏不停跳下房室缺修补手术的优点，为心内直视房室缺修补手术提供一种安全可靠的方法。方法：106例房室缺患者，在体外循环心脏不停跳下行心内直视手术。其中室间隔缺损64例，房间隔缺损42例。结果：本组病例术中经过顺利，未出现室颤及空气栓塞。术后无神经系统并发症，于术后10-14d痊愈出院。结论：由于该方法不阻断升主动脉，保持冠状动脉持续血液供应，避免了主动脉阻断造成的心肌缺血缺氧性损害和再灌注损伤，对心肌和神经元保护有利。

Clinical Analysis of Open Heart Surgery with Beating Heart on Congenital Heart Disease

Objective; To discuss the advantages of open heart surgery with beating heart through cardiopulmonary bypass. Methods: 106 patients with congenital heart disease patients underwent open heart surgery with beating heart. Among them 64 patients had inter-ventricular septal defect, 42 had interatrial septal defect. Results: No one suffered ventricular fibrillation or air thrombosis. No post-operative nerve system complications occurred. All the patients were discharged 10 - 14 days after operatioa Conclusions: As the ascending aorta was not blocked in the new method of open heart operation through pulmonary bypass, blood flow of coronary arteries remained steady, thus cardiac ischemia and re-perfusion injury was avoided.