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目的探讨小儿全胸腔镜心脏手术方法在小儿先天性心脏病手术中的应用效果。方法22例先天性心脏病患儿,年龄3～7岁,平均年龄(5.4±2.1)岁,房间隔缺损16例,室间隔缺损6例,采用全胸腔镜下经股动脉、股静脉插管建立体外循环,完全在胸腔镜下行房间隔和VSD修补。结果22例患儿体外循环时间58～142 min,平均(87.9±21.3)min,主动脉阻闭时间17～52 min,平均(20.2±18.3)min;开放升主动脉后心脏均自动复跳。术后均无重要并发症,5～7 d痊愈出院。结论全胸腔镜下心脏手术方法在小儿心脏病的治疗安全可靠,切口美观。
Objective To investigate the effect of pediatric thoracoscopic heart surgery in children with congenital heart disease. Methods Totally 22 children with congenital heart disease aged 3 to 7 years, mean age (5.4 ± 2.1) years, 16 cases with atrial septal defect and 6 cases with ventricular septal defect were treated with transcatheter thoracoscopic femoral artery Establishment of cardiopulmonary bypass, completely in the thoracoscopic atrial septum and VSD repair. Results The time of cardiopulmonary bypass was 58 ~ 142 min (mean, 87.9 ± 21.3 min) in 22 patients. The time of aortic block was 17 ~ 52 min (average, 20.2 ± 18.3 min). No significant complications after surgery, 5 to 7 days healed and discharged. Conclusions Thoracoscopic heart surgery is safe and reliable in the treatment of pediatric heart disease.