心房颤动患者行射频消融术并发症的发生原因分析及护理  

Nursing of the patients with atrial fibrillation treated with radiofrequency catheter ablation and contracting complications

作　　者：陆琼芳[1] 

机构地区：[1]佛山市第一人民医院心血管内科,广东佛山528000

出　　处：《现代临床护理》2015年第6期50-53,共4页Modern Clinical Nursing

摘　　要：目的探讨心房颤动（以下简称房颤）患者在射频消融术并发症发生原因及总结护理方法。方法对234例行射频消融术中17例发生并发症的房颤患者进行原因分析并做好护理工作。结果 17例行射频消融术患者并发症,包括心包积液2例,急性心脏压塞4例,急性左心力衰竭3例,出血3例,气胸1例及肺静脉狭窄4例。经处理全部患者康复出院,住院时间11-23 d,平均（15.47±3.84）d。结论心房颤动行射频消融术的并发症发生突然、病情危重,熟悉并发症的发生表现,及时采取正确有效的护理措施,是患者获得良好预后的关键。Objective To explore the causes of complications from radiofrequency catheter ablation in the treatment of atrial fibrillation and summarize the nursing strategy. Methods Two hundred and thirty-four patients with atrial fibrillation were treated with radiofrequency catheter ablation. The clinical data of 17 of them contracting complications were retrospectively reviewed to summarize the nursing strategies. Results Among the 17 patients with complications, 2 patients contracted pericardial effusion, 4 acute cardiac tamponade, 3 acute left heart failure, 3 bleeding, 1 pneumothorax and 4 pulmonary vein stenosis. All of them got recovered and discharged after rescue and intensive care. Conclusions The complications of atrial fibrillation after radiofrequency ablation are serious and sudden.The nursing strategies including mastery of the complications′ symptoms and correct nursing measures are critical for a better prognosis.

关 键 词：心房颤动 射频消融术 并发症 护理 

分 类 号：R473.5[医药卫生—护理学]