摘要
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10-14 d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。
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. Resuits： No one suffered ventricular fibrillation or air thrombosis. No post-operative nerve system complications occurred. All the patients were discharged 10 - 14 days after operation. 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.
出处
《中国临床医学》
北大核心
2005年第6期1005-1006,共2页
Chinese Journal of Clinical Medicine
关键词
体外循环
心脏不停跳
心内直视手术
Congenital heart disease
Beating heart
Open heart Surgery
