Pectus Excavatum Surgical Repair
漏斗胸的外科修复过程
In this animation, we see a patient with Pectus Excavatum. The Indentation from this deformity is compressing, and in some cases, displacing the heart.
本视频将演示一例漏斗胸患者的修复过程。这种畸形导致的凹陷会压迫心脏，有时会使心脏移位。
To begin, two small incisions are made on either side of the chest plus a small incision for scope, which will allow for direct vision during the procedure.
首先，在患者胸壁两侧做两个小切口，再做一个小切口插入胸腔镜，以便术中直视。
To allow for better visualization and safer passage across the chest, a retractor is placed to lift the sternum away from the heart.
为更好地观察，以及更安全地通过胸腔，我们将置入牵引器，将胸骨向上抬起，远离心脏。
A tunneling instrument is then used to enter the chest on the right, go beneath the sternum, and then exit the chest on the left.
然后从右侧胸腔进入，穿过胸骨下方，然后从胸腔左侧穿出，穿通一条隧道。
Next, a chest tube is attached to the tunneling instrument and to the bar being used to correct the deformity.
接下来，将胸管连接到隧道器械，以及漏斗胸矫正钢板上。
The tube and bar are pulled through the incisions, all while ensuring the bar is away from the heart. The bar is then rotated with the help of two bar flippers.
将胸管和钢板沿隧道穿过两侧切口，注意在此过程中应确保钢板远离心脏。然后，在两个翻转器的辅助下翻转钢板。
The bar is secured into place using heavy sutures around the bar and the ribs, and sometimes by stabilizers.
在钢板和肋骨周围，使用医用缝合线固定钢板，有时也使用固定器。
The chest is now totally corrected, and ample space is available for the lungs and heart. All incisions are closed with sutures that are absorbable.
现在，胸腔已经完全矫正，有足够的空间容纳肺和心脏。我们使用可吸收缝线缝合所有的切口。
The patient will be taken to the recovery room where they will spend about 30 minutes coming out of anesthetic before being moved to their in-patient room.
将患者送到恢复室，待 30 分钟左右麻醉失效后，转到病房。
相关单词学习
Pectus Excavatum
①发音和释义
pec·tus ex·ca·va·tum/ˌpek.təs ˌeks.kəˈveɪ.təm/ 漏斗胸
A congenital condition in which the sternum is abnormally depressed.
（图源：太帅图库）
Anesthetic
an•es•thet•ic/ˌænɪsˈθɛtɪk/ 麻醉剂
A substance that produces anesthesia.
单词 anesthetic 由下列成分构成
anesthet- 麻醉
+
-ic（后缀）与....有关
（图源：太帅图库）
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