射频消融并发心脏穿孔的围手术期观察与护理  

The observation and nursing of cardiac perforation in perioperation of transcatheter radiofrequency ablation

作　　者：郑明霞[1] 秦容[1] 冯明华[1] 杨洋[1] 

机构地区：[1]四川大学华西医院心内科导管室,四川成都610041

出　　处：《西部医学》2014年第10期1396-1398,共3页Medical Journal of West China

摘　　要：目的探讨经导管行射频消融并发心脏穿孔的围手术期观察与护理策略。方法对1例预激综合症患者,在行经导管射频消融后2小时发生心脏穿孔,术后严密观察病情变化,及时发现心脏穿孔征象,并采取积极正确的临床处治与实施心理和综合护理措施。结果患者经积极抢救认真观察护理,康复出院。结论心脏穿孔起病隐匿、急骤、后果严重,围手术期死亡率高,护士围手术期认真进行临床观察和护理,及时发现心脏穿孔征象,及时配合医生急救处理,可避免不良事件的发生和改善患者预后,甚至挽救病人生命。Objective To explore the observation and nursing strategy of cardiac perforation during perioperation of transcatheter radiofrequency ablation.Methods A patient with pre-excitation syndrome was treated with radiofrequency current catheter ablation.2 hours after treatment,cardiac perforation happened.The patient was carefully observed and nursing with appropriate intervention.Results This patient was successfully rescued and rehabilitated.Conclusion As the onset of cardiac perforation was insidious and acute,accompanying with severe outcomes and high mortality.The careful observation and nursing in perioperation could find out the sign of cardiac perforation timely,avoid adverse events,improve the prognosis and even rescue the lives.

关 键 词：经导管 射频消融 围手术期 心脏穿孔 临床观察与护理 

分 类 号：R654.2[医药卫生—外科学]