胆道手术伴心动过缓患者的观察和护理  

Clinical Observation and Nursing of Patients with Bradycardia during Perioperative Period of Biliary Surgery

作　　者：俞素卿[1] 钱素芬[1] 盛红娜[1] 何淑琴[1] 

机构地区：[1]衢州市人民医院肝胆外科,浙江衢州324000

出　　处：《解放军护理杂志》2007年第09B期41-42,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨胆道手术患者心动过缓发生和发展的规律及观察护理的重点。方法对2003年1月至2006年5月70例胆道手术围术期出现心动过缓患者的观察和处理进行分析。结果70例胆道手术患者中,有心血管疾病史15例、重度黄疸29例、晕厥史3例。术前58例心率<60次/min,12例60～100次/min;术中因心动过缓应用阿托品、异丙肾上腺素者35例;术后均出现心动过缓,39例自动恢复正常。结论胆道手术患者合并有心血管疾病、黄疸、心电图异常、使用镇痛泵、有心律失常史是发生心动过缓的危险因素,术后6h内易出现心动过缓。因此,对重点人群应重视术前准备和评估,术中、术后及时观察并处理,以保证胆道术前后患者的安全。Objective To investigate the rules of development and progression of bradycardia during the perioperative period of biliary surgery and to discuss its nursing strategy. Methods The data of 70 patients （January 2003 to May 2006） with bradycardia during perioperative period of biliary surgery were retrospectively analyzed. Results The independent risk factors for bradycardia included aliments of the cardiovascular system, abnormal ECG, obstructive jaundice, use of analgesia pump and arrhythmia history. Bradyeardia is likely to occur within 6 hours after operation. Conclusion More attention should be given to patients with heart rate 〈50/min before operation; sufficient preparation, timely observation and management are the keys to guarantee the safety of patients.

关 键 词：胆道手术 心动过缓 观察 护理 

分 类 号：R473.6[医药卫生—护理学]