1例经导管射频消融联合微创左心室辅助装置植入患者的术后护理  

The postoperative care of patients undergoing radiofrequency catheter ablation in conjunction with minimally invasive left ventricular assist device implantation

作　　者：胡亚玲[1] 宋剑平[1] 王紫薇 祝忆平 黄金英 HU Yaling;SONG Jianping;WANG Ziwei;ZHU Yiping;HUANG Jinying

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中华护理杂志》2024年第19期2404-2407,共4页Chinese Journal of Nursing

摘　　要：总结1例经导管射频消融联合微创左心室辅助装置植入患者的术后护理经验。护理要点:定期评估患者双侧下肢血液循环情况,警惕深静脉血栓形成;早期实施以目标为导向的液体管理策略,精准化液体管理;关注胃肠道反应,预防消化道出血;加强胸肺部体征评估,及早识别并处理气胸;个体化疼痛管理。经过精心治疗与护理,术后第8天,患者顺利转至普通病房。术后第21天,康复出院。In this study,we aim to provide a comprehensive overview of the postoperative nursing care for patients undergoing radiofrequency catheter ablation in conjunction with minimally invasive left ventricular assist device implantation.The main nursing considerations include the following aspects.Regular assessment of the pulsation of bilateral lower limb arteries was conducted in order to maintain vigilance against the occurrence of deep vein thrombosis;the goal-oriented fluid management strategies were executed;it was crucial to focus on gastrointestinal responses and take steps to prevent gastrointestinal bleeding;the monitoring of chest indicators and respiratory function was enhanced to facilitate early detection of pneumothorax;the optimization of pain management was maximized.Following meticulous care and medical attention,the patient was transferred to the general ward on the 8th day post-surgery.On the 21st day after the procedure,the patient achieved full recovery and was subsequently discharged.

关 键 词：心力衰竭 心动过速 射频消融 左心室辅助装置 护理 

分 类 号：R473.6[医药卫生—护理学]