胸骨正中切口一期矫治主动脉弓中断术后的监护  

Postoperative Care of Patientw with One-stage Repair of Interrupted Aortic Arch(IAA)through Midline Sternotomy

作　　者：魏贤珍[1] 宁波[1] 马建珍[1] 李一粟[1] 

机构地区：[1]解放军空军总医院重症监护科,北京100036

出　　处：《解放军护理杂志》2008年第19期67-68,76,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的总结和探讨胸骨正中切口一期矫治主动脉弓中断术后的监护要点。方法对1995年1月至2007年12月实行的主动脉弓中断一期矫治患儿进行回顾性分析。8例患儿均合并其他心血管畸形和重度肺动脉高压,均经正中胸骨切口一期矫治。结果全组死亡1例,死亡原因为术后严重低心排综合征及肾功能衰竭;随访7例,随访时间6个月～12年,平均(7.5±2.5)年。均存活,其中1例患儿术后11年发生同种血管钙化狭窄,行二次手术干预。结论围绕患儿手术前后病理、生理的变化特点,以及血管通畅程度和心、肺、肾功能状况,展开针对性、个体化的监护,可减少术后并发症的发生率,提高术后生存率。Objective To smmarize key points of postoperative care for patients with one-stage repair of IAA through midline sternotomy. Methods Retrospective analysis of 8 child patients with one-stage repair of IAA through midline sternotomy from January 1995 to December 2007 in our deparment was conducted. And all the patients had asscociated cardiovascular abnormalities and severe pulmonary hypertension. Results One patient died of severe low cardiac output syndrome combined with acute renal failure. Seven cases were followed up from 6 to 12 years without late death,and their cardiac function was NYHA Ⅰ . One case underwent a second operation 11 years later due to angiosteosis and stenosis. Conclusion Acorrding to the pathological and physilogical changes, vessel patency, cardiac, pulmonary and renal function of patients during perioperative period, focused and individual monitoring care should be careried out so as to reduce postoperative complications and enhance survival rate.

关 键 词：先天性心脏病 主动脉弓中断术 术后 护理 

分 类 号：R472.2[医药卫生—急诊医学]