1例经导管主动脉瓣置换术后并发延迟性冠状动脉阻塞患者的护理  

Nursing care of a case with delayed coronary obstruction after transcatheter aortic valve replacement

作　　者：陈祎兰[1] 毛越[1] 李荣 刘婧[1] 宣烨菁 CHEN Yilan;MAO Yue;LI Rong;LIU Jing;XUAN Yejing

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24期3032-3035,共4页Chinese Journal of Nursing

基　　金：浙江省医药卫生科技计划项目(2024KY1076)。

摘　　要：总结1例经导管主动脉瓣置换术后并发延迟性冠状动脉阻塞患者的护理经验。护理要点:关注术前冠状动脉阻塞的预测指标,实施预见性护理;严密监测临床症状,采取精细化管理;动态实施抗凝管理,预防出血与血栓形成;早期开展渐进性运动锻炼,落实心脏康复指导;加强感染的预防与护理;针对患者出现的负性情绪,及时评估与引导,实施个性化心理护理。经过积极治疗与护理,患者顺利出院,随访6个月,生存质量良好。To summarize the nursing experience of a patient with delayed coronary obstruction after transcatheter aortic valve replacement.The main contents of nursing care were as follows:focusing on predictors of preoperative coronary artery obstruction and implementing anticipatory care;closely following the clinical symptoms and taking fine management;dynamic implementation of anticoagulant therapy to prevent bleeding and thrombosis;early carrying out progressive exercise and implementing cardiac rehabilitation guidance;strengthening the prevention and nursing of infection;in view of the negative emotions of patients,timely assessment and guidance are conducted,with the implementation of personalized psychological intervention.After active treatment and nursing,the patient was discharged successfully,and the quality of life was in good condition after 6 months of follow-up.

关 键 词：经导管主动脉瓣置换术 延迟性冠状动脉阻塞 护理 

分 类 号：R473.6[医药卫生—护理学]