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目的 :探讨右侧剖胸小切口的手术要点及手术指征。 方法 :本组 10 2例患者经右腋下小切口剖胸及体外循环下行小儿心内直视术 ,其中房间隔缺损 2 4例 ,室间隔缺损 6 8例 ,法乐四联症 5例 ,室间隔缺损合并房间隔缺损 3例 ,右心室双出口、Ebstein畸形各 1例。合并畸形 :左上腔静脉 4例 ,右心室双腔及动脉导管未闭各 1例。 结果 :全组患者无死亡。 结论 :切口的正确选择是术野良好显露的前提 ,主动脉插管是手术成功的关键。该切口适用于大部分常见先天性心脏病的矫治。
Objective: To discuss the surgical points and surgical indications of the right thoracotomy. Methods: The group of 102 patients underwent right heart axillary small incision thoracotomy and cardiopulmonary bypass cardiopulmonary surgery, of which 24 cases of atrial septal defect, ventricular septal defect 68 cases, tetralogy of Fallot 5 cases, Ventricular septal defect complicated by atrial septal defect in 3 cases, double outlet right ventricle, Ebstein malformation in 1 case. Combined deformity: left superior vena cava in 4 cases, right ventricular double lumen and patent ductus arteriosus in 1 case. Results: All patients did not die. Conclusion: The correct choice of incision is the premise of good surgical field, aortic cannulation is the key to successful operation. The incision is suitable for the treatment of most common congenital heart disease.