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右前外胸部小切口行心脏不停跳心内直视手术
引用本文:陈林,肖颖彬,王学峰,陈柏成,陈进劲,王咏,周骐,刘兵,方骏.右前外胸部小切口行心脏不停跳心内直视手术[J].重庆医学,1999,28(6):403-404.
作者姓名:陈林  肖颖彬  王学峰  陈柏成  陈进劲  王咏  周骐  刘兵  方骏
作者单位:第三军医大学新桥医院心外科,重庆,400037
摘    要:目的 介绍27例右前外胸部小切口心脏不停跳体外循环心内直视手术的体会。方法:采用右前外胸部小切口27例中,男16例,女11例,年龄1.8-42岁,皮肤切口全长,儿童为8-10cm,成人10-15cm,第四肋间入胸,在全麻浅低温心脏不停跳体外循环下进行,其中房缺3例,原发孔房缺(P-ASD)1例,室缺(VSD)16例,室缺伴右室流出道狭窄(VSD+RVOT)1例,二尖瓣置换2例,主动脉瓣置换术3例。

关 键 词:心内直视手术  小切口  右胸部切口

Open Heart Operation on Beating Heart Through Small Right Anteriolatteral Thoracic Incision
Chen Lin,Xiao Yingbin,Wang Xuefeng et al..Open Heart Operation on Beating Heart Through Small Right Anteriolatteral Thoracic Incision[J].Chongqing Medical Journal,1999,28(6):403-404.
Authors:Chen Lin  Xiao Yingbin  Wang Xuefeng
Abstract:Objective:The aim was to introduce the technique of open heart operation on beating heart through small right anteriolat eral thoracic incision. Methods:Twenty - seven patients underwent open heart operation on beating hearts under mid hypothermic cardiopul monary bypass through this incision, including 4 cases of ASD, 1 case of P- ASD, 16 cases of VSD, 1 case of VSD and RVOT, 3 cases of AVR, 2 cases of MVR. Results: There was no operative death and no incident of air embolism. Conclusion:The open heart operation on beating heart through small right anteriolateral thoracic incision is a safe and efffective alternation for simple cardiac defects. It is superior than median sterntomy for its tramatic and cosmetic reason.
Keywords:Open heart operation  Minimally incision  Right thoracotomy
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