再次二尖瓣瓣膜置换术的术后监护  

Postoperative monitoring of 72 patients receiving redo mitral valve replacement

作　　者：曹涌[1] 景华[1] 李德闽[1] 李忠东[1] 

机构地区：[1]南京军区南京总医院心胸外科,南京210002

出　　处：《医学研究生学报》2011年第7期738-741,共4页Journal of Medical Postgraduates

基　　金：军队医药卫生"十一五"科研基金(06Z017)

摘　　要：随着心脏手术的广泛开展,需要再次行瓣膜置换术的患者日趋增多,文中总结72例再次二尖瓣瓣膜置换术患者的术后护理经验。采用回顾性分析的方法,总结72例心脏手术再次行二尖瓣瓣膜置换术患者的术后护理。72例患者中,手术早期死亡2例,死亡率2.8%,其余随访期间无死亡,心功能均得到明显改善。采取相应护理措施,包括加强围手术期对低心排血量综合征心律失常的护理与治疗,加强呼吸管理,密切观察引流及肾功能,及时根据情况调整抗凝药用量,这是再次二尖瓣瓣膜置换成功的关键。With popular development of cardiac surgery,there has been an increasing demand for redo of heart valve replacements.This article is to sum up the experiences of postoperative nursing care for redone mitral valve replacement in patients.Postoperative nursing experiences of 72 patients undergoing redo of mitral valve replacement from 1995 to 2007 were assessed retrospectively.Two patients died early post operation and accounted for a hospital mortality of 2.8%.No one of the remaining patients died within the period of follow-up.The patients′ heart function was significantly improved.Proper nursing measurements would be the crucial points for the successful redo of valve replacement operations,which include enforced perioperative nursing and treatment of low output syndrome and arrhythmias,enforced respiratory administration,close observation of drainages and renal function and timely adjustment of anticoagulant doses according to the substantial situations of the patients.

关 键 词：二尖瓣瓣膜置换 二尖瓣 再次手术 术后监护 

分 类 号：R47[医药卫生—护理学]