婴幼儿先天性心脏病室间隔缺损围手术期的护理  

Nursing care of infants with congenital heart of ventricular soptal defect in perioperation

作　　者：殷秋阳[1] 姜勇[1] 白兴芹[1] 陈凤娇[1] 

机构地区：[1]山东省聊城市人民医院

出　　处：《护理实践与研究》2006年第4期9-11,共3页Nursing Practice and Research

摘　　要：目的:总结36例婴幼儿先天性心脏病室间隔缺损围手术期的护理。方法:手术前有效地改善心肺功能;手术后维持良好的循环功能,及时发现心律失常,持续监测有创动脉血压和中心静脉压,保持呼吸道通畅,适时脱离呼吸机、拔除气管插管;保持胸腔引流管通畅,观察引流量变化,防止心包填塞的发生;维持体液、电解质及酸碱平衡,严格控制补液量及补液速度。结果:本组36例,9例发生严重心律失常,其中2例出现室颤,肺炎8例,低心排综合征4例,肺高压危象3例,心包填塞二次开胸止血l例,切口感染1例。痊愈35例,1例因低心排综合征死亡。结论:加强围手术期护理,是降低室间隔缺损修补术后并发症和死亡率的关键因素。Objective： Sum up nursing care of 36 infants with congenrtal heart of ventricular septal defect . Method ： To improve the functions of heart and lung effectively before operation;remainde good cycle function, found out cardic arrhythmia in time, monitored artery blood pressure and central vein pressure, remained air- way clear observed lead discharge remained body fluid, electro lyte and sour alkali balance , and so on .Resuh：35 infants were cured and one case die a low heart row amount of blood syndrome. Conclusion：To enhance nursing care in periopera. tion was the key factor to reduce the complications and mortality of repair of ventricular septal defect .

关 键 词：婴幼儿 心脏病 先天性 室间隔缺损 

分 类 号：R473.72[医药卫生—护理学]