1例超高龄患者行经导管主动脉瓣置换术后合并心律失常的护理  

Nursing care of a super elderly patient with arrhythmia after transcatheter aortic valve replacement

作　　者：毛越[1] 何杰 湛扬 陈晶晶[1] 朱蓓蓓[1] MAO Yue;HE Jie;ZHAN Yang;CHEN Jingjing;ZHU Beibei

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310000

出　　处：《中华护理杂志》2024年第21期2649-2653,共5页Chinese Journal of Nursing

基　　金：浙江省卫生健康科技计划面上项目(2021KY705,2024KY1076)

摘　　要：总结1例主动脉瓣重度狭窄的超高龄患者行经导管主动脉瓣置换术后合并心律失常的护理经验。护理要点:实施护士主导的三联预康复、目标导向性血流动力学监测及容量管理、术后并发症的预防及处理、双心医学指导下的心理适应力调整、早期循序渐进康复训练、随访专员指导院外延续性护理。经过团队的精心治疗与护理,术后12 d患者病情稳定后出院。To summarize the nursing experience of postoperative arrhythmia after transcatheter aortic valve replacement in an elderly patient with severe aortic stenosis.The key points of nursing include:implementing nurse led triple pre-rehabilitation,goal oriented hemodynamic monitoring and volume management,prevention and management of postoperative complications,psychological adaptation adjustment under the guidance of dual heart medicine,early and gradual rehabilitation training,and follow-up specialist guidance for extended care in the hospital.The patient was discharged from hospital with both stable physical and psychological condition after careful treatment and nursing care by the team in 12 days after operation.

关 键 词：经导管主动脉瓣置换术 心律失常 高龄 护理 

分 类 号：R473.6[医药卫生—护理学]