期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

胸腔镜辅助下心脏手术体外循环的建立与管理(附30例报告)

Application of cardiopulmonary bypass with totally video-assisted thoracoscopy in heart operation Reports of 30 cases
下载PDF
导出
摘要 目的总结胸腔镜下心脏手术的体外循环建立方法和体外循环的管理。方法分析30例心脏病患者借助于电视胸腔镜进行房间隔缺损修补,室间隔缺损修补,二尖瓣置换,Ebstein畸形矫治,部分房室管畸形的体外循环过程和术后结果。结果1例患者停体外循环后因血氧饱和度偏低,延长第4肋间切口探查;1例因手术操作导致出血而延长切口再次插管建立体外循环;1例患者因残余漏再次手术,其余27例患者手术过程顺利。30例患者术后均恢复良好。结论胸壁打孔体外循环下完全借助于电视胸腔镜实施心脏手术安全、可行;开展此手术的初期体外循环时间和主动脉阻闭时间相对较长,应加强体外循环的管理。 objective To summarize the way and management of cardiopulmonary bypass （CPB） with totally video-a ssisted thoracoscopy in heart operation.Methods The process and postoperative results of 30 patients undergoing operation of CPB with totally video-assisted thoracoscopy were analyzed.The patients involved were 12 cases of atria septal defect, 15 ventricular septal defect, 1 mitral valve stenosis, 1 Ebstein deformed and 1 partia atrioventricular canal defect. Results Of the 30 cases, 1 case was reoperated because of there sidual shuntos of ventricular septal defect. The incison of another 2 case were extende during operation because of low saturation of peripheral arteries and aorta wall bleeding.The rest 27 cases were successfully operated by applying cardiopulmonary bypass with totally video-assisted thoracoscopy. All patients recovered well postoperatively and discharged uneventfully.Conclusion Heart operations can be done by applying cardiopulmonary bypass with totally video-assisted thoracoscopy. The method is safe and practicable. But it should be modified to shorten the duration of CPB and aorta clamping.
作者 刘振玉 方向明 刘世国
机构地区 中国人民解放军第
出处 《江西医药》 CAS 2005年第11期685-687,共3页 Jiangxi Medical Journal
关键词 胸腔镜 心脏外科手术 体外循环 thoracoscop cardiac surigical procedures cardiopulmonary bypass
分类号 R654.1 [医药卫生—外科学]
  • 相关文献

参考文献13

  • 1Nakamoto H,Suzuki T,Sugahara S,et al.Succesful use of thoracoscopic pericardiectomy in elderly patients with massive pericardial effusion caused uremic pericarditis.Am J Kidney Dis,2001,37(6):1294.
  • 2Schoreyers P,Wellens F,De Geest R,et al.Minimally invasive videoassisted mitral valve repair short and midterm results.J Heart Valve Dis,2001,10(5):579.
  • 3Le Bret E,Folliquet TA,Cborde F.Vido thoracoscopic surgical interrupt of patent ductus arteriosus.Ann Thorac Surg,1997,64(5):1492.
  • 4Burke RP,Jacobs J P,Cheng W,et al.Video-assisted thoracoscopic surgery for patent ductus arteriosus in lowbirth weight neinates and infants.Pediat Rics,1999,104 (2ptl):227.
  • 5Ishikawa M,Nagase M,Kachi H,et al.A case of an 86year old patient treated with thoracoscopic percardiectomy of recurrentpericardial fusion.Kyobu Geka,1999,52(3):225.
  • 6Lin PL,Chang CH,Chu JJ,et al.Video-assisted coronary artery bypass grafting during hypothermic fibrillatory arrest.Ann Thorac Surg,1997,63(2):1113.
  • 7Lei KB,Luo WJ,Zhang WX,et al.Report of video-assistedthoracoscopic on operation on heart for six cases.Zhongguo Neijing Zazhi (Clin J Endosc),2000,6(3):51.
  • 8刘振玉,方向明,许国安,刘世国,徐靖,周亚军,张小强,王省堂,刘学广.胸腔镜辅助体外循环下治疗先心病的初步体会[J].江西医药,2003,38(4):236-238. 被引量：4
  • 9Yu SQ,Wang G,Cai ZJ,et al.Video-assisted thoracoscopic management of Ebsteinpsanomaly.Disi Junyi Daxue Xuebao (J Fourth Mil Med Univ),2002,23(1):86.
  • 10Chang CH,Lin PJ,Liu HP,et al.Video-assisted cardiac surgery in closure of atrial septal defect.J Thorac Cardiovasc Surg,1996,62(3):697.

二级参考文献19

  • 1[1]Nakamoto H, Suzuki T, Sugahara S, Okada H, Kanek K, Suzuk H. Succesful use of thoracoscopic pericardiectomy in elderly patients with massive pericardial effusion caused uremic pericarditis [J]. Am J Kidney Dis, 2001; 37(6): 1294-1298.
  • 2[2]Schoreyers P, Wellens F, De Geest R, Degrieck I, Van Praet F, Vermealer Y, Vaner Men H.Minimally invasive video-assisted mitral valve repair short and mid-term results [J]. J Heart Valve Dis, 2001; 10(5): 579-583.
  • 3[3]Le Bret E, Folliquet TA, Cborde F. Vido thoracoscopic surgical interrupt of patent ductus arteriosus [J]. Ann Thorac Surg, 1997; 64(5): 1492-1494.
  • 4[4]Burke RP, Jacobs JP, Cheng W, Trento A, Fontana GP. Video-assisted thoracoscopic surgery for patent ductus arteriosus in low birth weight neinates and infants [J]. Pediatrics, 1999; 104(2 pt 1): 227-230.
  • 5[5]Ishikawa M, Nagase M, Kachi H, Sekino M. A case of an 86-year-old-patient treated with thoracoscopic percardiectomy of recurrent pericardial fusion [J]. Kyobu Geka, 1999; 52(3): 225-228.
  • 6[6]Lin PL, Chang CH, Chu JJ, Liu HP, Tsai FC, Lin FC, Chiang CW, Yang NW, Tan PP. Video-assisted coronary artery bypass grafting during hypothermic fibrillatory arrest [J]. Ann Thorac Surg, 1997; 63(2): 1113-1117.
  • 7[7]Lei KB, Luo WJ, Zhang WX, He ZM. Report of video-assisted thoracoscopic on operation on heart for six cases [J]. Zhongguo Neijing Zazhi (Chin J Endosc), 2000; 6(3): 51-53.
  • 8[8]Cheng YG, Cai ZJ, Yu SQ, Kang YF, Cheng LJ, Duan DW. Video-assisted thoracoscopic cardiac surgery for arterial septal defect in one patient [J]. Di-si Junyi Daxue Xuebao (J Fourth Mil Med Univ), 2000; 21(7): S202.
  • 9[9]Yu SQ, Wang G, Cai ZJ, Chen YG, Kang YF, Xu XZ, Shao JF, Wang HS. Video-assisted thoracoscopic management of Ebsteins anomaly [J]. Di-si Junyi Daxue Xuebao (J Fourth Mil Med Univ), 2002; 23(1): 86.
  • 10[10]Chang CH, Lin PJ, Liu HP, Tsai FC, Lin FC, Chiang CW, Su WJ, Yang MW, Tan PP. Video-assisted cardiac surgery in closure of atrial septal defect [J]. J Thorac Cardiovasc Surg, 1996; 62(3): 697-701.

共引文献18

江西医药
2005年 第11期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部