32例主动脉瓣病变患者Ozaki自体心包主动脉瓣成形术的护理配合  

Nursing Cooperation in Ozaki Technique for Aortic Valve Reconstruction:A 32-case Study

作　　者：许斌[1] 韩杰[1] 董瑶[1] 张鸿英[1] XU Bin;HAN Jie;DONG Yao;ZHANG Hong-ying(Dept.of Cardiac Operating Room,Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院北京市心肺血管病研究所心外科手术室,北京100029

出　　处：《护理学报》2020年第15期66-68,共3页Journal of Nursing（China）

摘　　要：目的总结我院采用OZAKI自体心包主动脉瓣膜成形术治疗主动脉瓣疾病的护理配合经验。方法收集2015年11月—2019年12月我院32例主动脉瓣病变患者,均于静脉+吸入复合全身麻醉下接受OZAKI自体心包主动脉瓣膜成形手术。手术室器械护士术前熟知手术方案及步骤,提前准备瓣膜修复器械,配合自体心包瓣叶制作及缝合等手术步骤。巡回护士准备好心包固定液,准确记录戊二醛浸泡和冲洗时间。结果32例主动脉瓣病变患者均手术修复成功取得满意效果,无围术期死亡、无护理并发症发生。术后1周复查超声心动图,主动脉瓣血液动力学纠正效果满意。结论手术室护士熟知并掌握OZAKI自体心包主动脉瓣膜成形手术的方法及技术特点,护理配合应注意自体心包瓣叶制作的关键步骤,以及戊二醛溶液的配制及术中妥善管理,协助外科医生顺利完成手术。Objective To summarize the nursing experience in OZAKI technique for aortic valve reconstruction.Methods The data of 32 patients with aortic valve disease who underwent Ozaki procedure in our hospital from November 2015 to December 2019were collected.Instrument nurses should be familiar with surgical plan and procedures before surgery,prepare valve reconstruction equipment,and cooperate with surgeons in surgical procedures such as the preparation and suture of autologous pericardial cups.Circulating nursesshould prepare appropriate concentration of glutaraldehyde for immobilization of pericardial tissue and accurately record the duration of immersion and rinsing.Results Allthe surgeries of the 32 patients were completed successfully,achieving satisfactory results without perioperative death or nursing complications.Echocardiography was performed one week after the operation,showing satisfactory results of hemodynamic correction of aortic valve.Conclusion Nurses in operating room should be familiar with the process and technical characteristics of OZAKI technique for pericardial aortic valve reconstructionin order to assist surgeons to complete the operation successfully.Some key steps in the preparation of autopericardial leaflets as well as preparation and management of glutaraldehyde solution should be noticed during nursing cooperation.

关 键 词：自体心包主动脉瓣成形术 主动脉瓣狭窄 主动脉瓣关闭不全 护理配合 

分 类 号：R472.3[医药卫生—护理学]