【摘要】 目的评价心脏跳动中手术治疗主动脉窦瘤破裂的疗效。方法将1996年1月～2011年11月我院收治的83例主动脉窦瘤破裂患者随机分为不停跳组(42例)和停跳组(41例)。对两组患者术前一般情况、心功能情况、手术时间、体外循环时间等进行分析。结果不停跳组体外循环时间、呼吸机使用时间均短于停跳组(P<0.05);正性肌力药使用量少于停跳组(P<0.01);随访中停跳组有2例术后10年发生中度主动脉瓣反流,不停跳组一例术后7年发生中度主动脉瓣反流。结论在浅低温心脏不停跳直视下治疗主动脉窦瘤破裂安全、有效,对合并主动脉瓣关闭不全的处理应该更加积极。更多还原

【Abstract】 Objective To evaluate the effective of the surgery with beating heart in the treatment of rupture of aortic sinus aneurysm.Methods Divided the 83 patients with rupture of aortic sinus aneurysm of our hospital from January 1996 to November 2011 were randomly divided into beating heart group(42 cases) and cardiac arrest group(41 cases).General condition before operation,cardiac function condition,operation time and extracorporeal circulation time of two groups were analyzed.Results Extracorporeal circulation time and breathing machine use time of beating heart group were shorted than that of cardiac arrest group(P<0.05);positive inotropic drug dosage was less than that of cardiac arrest group(P<0.01). There were 2 cases with moderate aortic regurgitation(AR) after ten years of operation in cardiac arrest group while only one occur in the beating heart group after 7 years of operation.Conclusion Surgery for rupture of aortic sinus aneurysm with beating heart is safety and effective,and aortic valve regurgitation should be treating as early as possible.更多还原