5例植入式左心室辅助装置撤除后行心脏移植手术患者的护理  

Nursing care for 5 patients undergoing heart transplantation following removal of implantable left ventricular assist devices

作　　者：马艳 王翔宇 臧美娜 郭聪慧 邢海英 吴荣 李庆印 MA Yan;WANG Xiangyu;ZANG Meina;GUO Conghui;XING Haiying;WU Rong;LI Qingyin

机构地区：[1]中国医学科学院阜外医院手术室,北京市100037 [2]中国医学科学院阜外医院小儿外科恢复室,北京市100037 [3]中国医学科学院阜外医院成人外科恢复室一区,北京市100037 [4]中国医学科学院阜外医院护理科研室,北京市100037

出　　处：《中华护理杂志》2025年第8期981-985,共5页Chinese Journal of Nursing

基　　金：中央高水平医院临床科研业务费资助(2023-GSP-HL-1)。

摘　　要：总结5例左心室辅助装置撤除桥接心脏移植手术的术前及术中护理经验。护理要点:术前对左心室辅助装置患者的护理及评估、多学科团队术前讨论制订手术方案、患者安全转运至手术间及其他术前准备、供心心肌保护及桥接移植术中多学科团队配合、术中患者安全管理。5例患者均顺利完成手术出院,无压力性损伤、伤口感染等术后并发症,术后按纽约心脏协会心力衰竭严重程度通用分级方法评估患者,心功能分级均达到Ⅰ~Ⅱ级,随访6个月—6年,最近一次随访心脏超声结果显示左心室射血分数均在65%以上,患者预后良好。This study summarizes the preoperative and intraoperative nursing experience in 5 cases of bridge-to-transplant heart transplantation with left ventricular assist device(LVAD)explant.Key points of nursing include:preoperative care and assessment of LVAD patients,preoperative discussion of the multidisciplinary team,safe transfer of patients to surgical rooms and other preoperative preparation,cardiomyocardial protection and multidisciplinary team cooperation during bridging transplantation,and intra-operative patient safety management.All 5 patients in this group successfully completed the surgery and were discharged.Pressure sores,wound infections,and other postoperative complications have not occurred.Postoperative cardiac function of 5 patients in this group were classified as New York Heart Association classⅠ~Ⅱ.The follow-up period for the 5 patients in this group ranged from 6 months to 6 years.The results of the most recent echocardiography follow-up showed that the left ventricular ejection fraction of all patients was all above 65%,with well prognosis.

关 键 词：左心室辅助装置 心脏移植 感染控制 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]