在儿科心脏外科手术中,上部部分胸骨分裂
Fumiaki Shikata1,2,3, Jay Shah1,4,5, Supreet Marathe1,2,3
1Queensland Pediatric Cardiac Service, Queensland Children's Hospital, Level 7F, Clinical Directorate, PO Box 3474, South Brisbane, QLD, 4101, Australia.
General thoracic and cardiovascular surgery
|January 16, 2024
概括
上部部分胸裂是小儿心脏手术的安全和有效方法,没有死亡率和有利的结果. 这种微创手术为接受复杂心脏手术的年轻患者提供了美容效益.
科学领域:
- 心血管外科心血管外科
- 儿科心脏手术 儿科心脏手术
- 胸部外科手术 胸部外科手术
背景情况:
- 胸骨是儿科心脏手术的常见手术方法.
- 在儿科心脏外科手术中,越来越多地喜欢最少的侵入性技术.
研究的目的:
- 在儿科心脏外科手术中评估上部部分胸裂的安全性和结果.
- 评估这种方法对各种先天性心脏缺陷的可行性.
主要方法:
- 从2016年到2022年,对51名经过心脏手术的儿科患者进行了回顾性审查,这些患者使用上部部分胸骨分裂进行了心脏手术.
- 程序包括血管环修复,亚大道膜切除,VSD关闭和大道门修复.
- 该方法涉及中线皮肤切口和上部手腕切口,无需使用专用仪器.
主要成果:
- 在研究队列中没有观察到死亡率.
- 一名患者在转换为全胸切除术后需要重新探索出血;没有发生伤口并发症.
- 41%的患者在手术室被抽管,剩下的76%在24小时内被抽管. 11名患者不需要接受ICU治疗.
结论:
- 上部部分胸裂是针对儿童心脏手术的一种简单而安全的手术方法.
- 与全胸切除相比,这种技术提供了更好的化品效果.
- 这种方法与减少ICU和住院时间有关.
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: