汪源++周曼玲

    [摘要] 目的 探讨体外循环技术应用于微创心脏手术中的价值，总结微创心脏手术的体外循环管理经验。 方法 选择2012年1月～2016年3月在华中科技大学同济医学院附属同济医院行体外循环辅助下微创心脏手术的患者121例，其中全腔镜手术91例，小切口胸腔镜辅助手术28例，达芬奇机器人辅助手术2例；主动脉瓣置换术3例，二尖瓣置换术68例，二尖瓣成形术5例，房间隔缺损修补术33例，室间隔缺损修补术12例；年龄17～64岁，男69例，女52例；均在股动脉、股静脉插管建立体外循环的辅助下完成手术。 结果 体外循环转流时间为(91.37±47.24)min，主动脉阻断时间为(57.63±34.66)min。全部病例体外循环停机均顺利，并安全完成手术。 结论 针对微创心脏手术的特点，改良技术细节并合理选用辅助设备，周围体外循环技术可安全顺利地辅助目前主要的微创心脏手术。

    [关键词] 体外循环；微创心脏外科；房间隔缺损；二尖瓣置换术

    [中图分类号] R654.2 [文献标识码] A [文章编号] 1673-7210(2016)12(b)-0058-03

    Application of extracorporeal circulation technique in minimally invasive cardiac surgery

    WANG Yuan ZHOU Manling

    Department of Cardiovascular Surgery， Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology， Hubei Province， Wuhan 430030， China

    [Abstract] Objective To explore the value of extracorporeal circulation technique in minimally invasive cardiac surgery， and to summarize the experience of extracorporeal circulation management of minimally invasive cardiac surgery. Methods 121 cases undergoing minimally invasive cardiac surgery assisted by extracorporeal circulation in Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 2012 to March 2016 were selected ......