经导管主动脉瓣置入术不同手术路径8例的护理配合  

Nursing cooperation for different operating pathways of transcatheter aortic valve implantation in eight cases

作　　者：张昆[1] 孙路路 张耀霞[1] 谢晨[1] 刘倩[1] 阎秀英[1] 

机构地区：[1]阜外心血管病医院介入导管室,北京100037 [2]北京清华长庚医院介入导管室

出　　处：《心血管外科杂志（电子版）》2015年第1期43-45,共3页Journal of Cardiovascular Surgery(Electronic Edition)

摘　　要：目的探讨经导管主动脉瓣置入术不同手术路径的护理配合及路径改变时的应对措施。方法回顾性分析阜外心血管病医院完成的8例不同手术路径下经导管主动脉瓣置入术,总结和提炼手术过程中介入护士的围术期护理配合及手术路径改变的应对护理措施。结果 8例手术中5例为经股动脉路径,2例为经升主动脉路径,1例转为外科开胸换瓣,手术均顺利完成,术后未发生相关并发症。结论介入护士重点做好围术期的各项护理配合,尤其是手术路径改变时的快速有效应对,是保证不同路径手术顺利完成的有效保障。Objective To explore the nursing cooperation of different operating pathways in transcatheter aortic valve implantation and as well as coping measures for pathway changed .Methods Eight cases of different operating pathways in transcatheter aortic valve implantation were analyzed ,perioperative nursing cooperation for the process of different pathway operations and changed pathway coping measures were refined and summarized . Results Eight cases completed transcatheter aortic valve implantation without complications , 5 cases of femoral artery pathway ,2 cases of ascending aorta pathway ,1 case was converted to surgical thoracotomy .All the operations were successfully completed , there was no complication after surgery .Conclusion Perioperative nursing cooperation is the center work for interventional nurses during transcatheter aortic valve implantation , especially quickly responding to the pathway changed can ensure the operation successfully completed .

关 键 词：心脏瓣膜假体植入 手术路径 护理配合 

分 类 号：R472.3[医药卫生—护理学]