心脏瓣膜病患者围术期的护理  

Nursing Care for Patients with Valvular Heart Disease in Perioperative Period

作　　者：崔福南[1] 

机构地区：[1]延边大学附属医院心胸外科,吉林延吉133000

出　　处：《临床医学工程》2013年第10期1294-1295,共2页Clinical Medicine & Engineering

摘　　要：目的探讨心脏瓣膜置换术患者围术期的护理方法。方法回顾分析我科72例行瓣膜置换术的心脏瓣膜病患者,护理内容包括围术期密切观察病情,做好心理护理和术前准备,密切观察血液动力学的变化,维持心功能、电解质的稳定,防止心律失常、出血、低心排综合征及重要脏器损害等各种并发症。结果本组72例患者中,3例患者术后死亡,病死率占4.2%。21例(29.2%)出现围术期并发症。10例(13.9%)出现呼吸功能低下,心率失常7例(9.7%),肾功能不全4例(5.6%)。结论心脏瓣膜病手术风险大,术后并发症多,围术期精心的观察,及时发现问题,有效的处理及护理,是提高手术成功率的关键。Objective To discuss the nursing method for patients with cardiac valve replacement during perioperative period. Methods Seventy-two patients with heart valve disease underwent valve replacement were retrospectively analyzed. Patients in the perioperative period received close observation, including psychological nursing and preoperative preparation. Meanwhile, hemodynamic changes, the heart function, electrolyte stability, preventing arrhythmia, bleeding, low cardiac output syndrome and damage of vital organs and other complications were also observed closely. Results Of the 72 patients, 3 patients died, with mortality rate of 4.2%. Perioperative complications occurred in 21 cases （29.2%）, with 10 cases （13.9%） of respiratory function, 7 cases （9.7%） of arrhythmia, and 4 cases （5.6%） of renal insufficiency. Conclusions Because of the high operative risk and postoperative complications, careful perioperative observation, finding problems in time, as well as effective nursing care and treatment can improve the success rate of operation.

关 键 词：心脏瓣膜疾病 围术期 护理 

分 类 号：R473.6[医药卫生—护理学]