重症先天性心脏病患儿行心导管术的观察与护理  

Chinical Observation and Nursing Care of Cardiac Catheterization for Severe Congenital Heart Disease in Infants and Children

作　　者：胡蓁[1] 沈海英[1] 唐晓静[1] 金黎洁[1] 邵丽英[1] 

机构地区：[1]上海第二医科大学附属新华医院上海儿童医学中心,上海200127

出　　处：《上海护理》2004年第3期8-10,共3页Shanghai Nursing

摘　　要：目的　探讨重症先天性心脏病患儿行心导管术的临床观察与护理的要点及重要性 ,以提高心导管术后的护理水平 ,减少并发症。方法　对 2 0 0 2年 1月～ 12月 718例患儿行心导管造影术进行分析 ,总结心导管手术前后的临床观察要点和护理。结果　 718例中 717例均完成心导管造影术 ,1例术后 6h因心功能不全及低氧血症死亡。 717例中 ,术后出现缺氧发作 2 4例 ,占 3 3% ;腹股沟局部血肿 2 3例 ,占 3 2 % ;外周血栓塞 11例 ,占 1 5 % ;一过性心律失常 12例 ,占 1 7% ;出现低血压 7例 ,占 0 9%。结论　为重症先天性心脏病患儿行心导管术的手术过程较复杂 。Objective To investigate the nursing care and clinical observation of cardiac catheterization for severe congenital heart disease in infants and children in order to improve the nursing quality and decrease complication.Methods 718 cases underwent cardiac catheterization from January 2002 to December 2002. Experiences of the nursing care were summarized. Results The catheterizations were successfully performed in 717 cases (99.9%). one case (0.1%) associated with hypoplastic right ventricular syndrome died due to acute heart failure and hypoxemia. Other complications such as blue spells (3.3%), groin hematoma (3.2%), peripheral embolization (1.5%), transient arrhythmia (1.7%) and hypotension (0.9%) got better outcome.Conclusion It is realized that nursing care and clinical observation are very important in cardiac catheterizateion of severe congenital heart disease in infants and children.

关 键 词：重症先天性心脏病 小儿 护理 心导管造影术 镇痛药物 

分 类 号：R473.72[医药卫生—护理学]