69例室间隔缺损修复术患儿的护理体会  

Nursing Experience of 69 Children Undergoing Ventricular Septal Defect Repair Surgery

作　　者：许素冰 Xu Subing(Department of SICU,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,Guangdong Province,China)

机构地区：[1]广东省中医院心脏大血管外科重症监护室,广东广州510120

出　　处：《中国社区医师》2025年第5期132-134,共3页Chinese Community Doctors

摘　　要：目的:探讨室间隔缺损(VSD)修复术患儿的护理方法,总结护理注意事项。方法:选取2022年6月—2024年6月于广东省中医院行VSD修复术的患儿69例作为研究对象,统计患儿的临床资料,包括术前准备时间、术后拔管时间、拔管后转移时间和恢复出院时间等临床指标及患儿住院期间护理过程中出现的常见阳性体征,并进行常规护理诊断,制定相应的护理措施。结果:患儿术前准备时间为1~17 d,平均6 d;术后拔管时间为0~15 d,平均1.6 d;拔管后转移时间为1~29 d,平均3.5 d;恢复出院时间为1~24 d,平均5.5 d。69例VSD修复术患儿出现20种阳性体征,其中感染、发热、疼痛、引流量多、咳痰、贫血、气胸和呕吐较常见。结论:VSD修补术后患儿容易出现感染、发热、疼痛、引流量多、咳痰、贫血、气胸和呕吐等并发症,临床需给予患儿全方位的护理,包括体温管理、呼吸道护理、营养跟踪护理、药物预防等,提高治愈率,减轻患儿疼痛,促进其康复。Objective:To explore the nursing methods for children undergoing ventricular septal defect(VSD)repair surgery and summarize key nursing considerations.Methods:A total of 69 children who underwent VSD repair surgery in Guangdong Provincial Hospital of Chinese Medicine from June 2022 to June 2024 were selected as the study subjects.The clinical data of the children were counted,including the clinical indicators such as preoperative preparation time,postoperative extubation time,post-extubation transfer time,and recovery and discharge time,as well as common positive signs of children during the hospitalization nursing process.Routine nursing diagnosis was carried out and the corresponding nursing measures were formulated.Results:The preoperative preparation time was 1~17 d,with an average of 6 d.The postoperative extubation time was 0~15 d,with an average of 1.6 d.The post-extubation transfer time was 1~29 d,with an average of 3.5 d.The recovery and discharge time was 1~24 d,with an average of 5.5 d.Sixty-nine children undergoing VSD repair surgery had 20 positive signs,among which infection,fever,pain,excessive drainage,sputum production,anemia,pneumothorax,and vomiting were common.Conclusion:Children after VSD repair surgery are easy to experience complications such as infection,fever,pain,excessive drainage,sputum production,anemia,pneumothorax,and vomiting.Comprehensive nursing should be given to children in clinical setting,including body temperature management,respiratory tract care,nutrition follow-up care and drug prevention,so as to increase the curing rate,relieve pain and promote the recovery of children.

关 键 词：室间隔缺损修复术 护理诊断 护理措施 

分 类 号：R473.5[医药卫生—护理学]