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目的:探讨不停跳心内手术对先天性心脏病患儿肺功能的保护作用。方法:选取我市第一人民医院2010年10月到2011年10月收治的70例先天性心脏病患儿,将其随机分为两组,观察组和对照组。观察组34例患儿在不停跳下对先天性心脏病进行心内直视手术;对照组36例患儿在停跳下进行手术。观察比较两组的临床指标。结果:观察组在呼吸指数上明显低于对照组(P<0.05),而在动脉血氧分压上高于对照组(P<0.05)。结论:不停跳心内直视手术相比停跳心内手术,对先天性心脏病患儿的肺功能会有更好的保护作用。
Objective: To investigate the protective effect of beating heart surgery on pulmonary function in children with congenital heart disease. Methods: Seventy patients with congenital heart disease admitted from the First People’s Hospital of our city from October 2010 to October 2011 were randomly divided into two groups: observation group and control group. Thirty-four children in the observation group underwent open-heart surgery with congenital heart disease while 36 children in the control group underwent surgery under arrest. Observed and compared the clinical indicators of both groups. Results: The respiratory index of the observation group was significantly lower than that of the control group (P <0.05), while that of the observation group was higher than that of the control group (P <0.05). Conclusion: Beating heart surgery compared with open heart surgery to stop heart surgery, pulmonary function in children with congenital heart disease will have a better protective effect.