| 右胸小切口微创主动脉瓣置换术的手术配合 |
| |
| 引用本文： | 张颖.右胸小切口微创主动脉瓣置换术的手术配合[J].中华全科医学,2016,14(12):2136-2139. |
| |
| 作者姓名： | 张颖 |
| |
| 作者单位： | 首都医科大学附属北京安贞医院手术室, 北京 100029 |
| |
| 摘 要： | 目的 总结本院右胸小切口直视微创下实施主动脉瓣置换术的手术配合要点，为临床提供参考。 方法 选择2012年7月—2015年11月首都医科大学附属北京安贞医院心外科收治的主动脉瓣患者36例，其中主动脉瓣关闭不全患者24例，主动脉瓣狭窄患者12例，男性23例，女性13例，平均年龄(45±11)岁，术前心功能NYHA分级Ⅱ级33例，术前心功能NYHA分级Ⅲ级3例。所有患者均拟于双腔支气管插管全身麻醉下择期行右胸小切口直视微创下主动脉瓣置换术，术中行体外循环。手术室护士做好患者术前宣教，术前物品及器械准备，术中积极配合手术，完善手术室护理流程。观察患者术中生命体征，记录手术时间、体外循环时间、主动脉阻断时间、住院时间，观察并记录患者预后及术后相关并发症。 结果 所有36例手术均顺利完成，患者术中生命体征平稳，手术时间为(232±33) min，体外循环时间平均为(120±25) min，主动脉阻断时间平均为(91±29) min，无术后并发症发生，患者均痊愈出院，住院时间平均为(11±5) d。 结论 右胸小切口直视微创下实施主动脉瓣置换术，创伤小、恢复快，近期手术效果良好。手术室护士术前对患者行健康指导，做好手术所需药品、设备、器械和耗材准备，术中积极主动配合手术，严格遵守操作原则及流程，是手术成功的关键。
|
| 关 键 词： | 微创 主动脉瓣置换术 手术配合 护理 |
| 收稿时间： | 2016-02-16 |
Nursing cooperation during minimally invasive aortic valve replacement with right chest small incision |
| |
| Affiliation: | Department of Operation Room, Anzhen Hospital Affiliated to Capital Medicine University, Beijing 100029, China |
| |
| Abstract: | Objective To discuss the experience of nursing cooperation during minimally invasive aortic valve replacement with right chest small incision,so as to provide reference for clinical. Methods Thirty-six cases of aortic valve disease in Beijing An Zhen Hospital between July,2012 and November,2015,included 23 male and 13 female,aged(45±11)years old,were enrolled into this study.There were 24 cases of aortic regurgitation and 12 cases of aortic stenosis.Preoperative cardiac function NYHA classification:grade Ⅱ 33 cases and grade Ⅲ 3 cases.All patients underwent minimally invasive aortic valve replacement with right chest small incision,with double lumen endotracheal intubation under general anesthesia and cardiopulmonary Bypass.The operating room nurses well performed the preoperative education,prepared preoperative articles and equipment sufficiently,cooperated actively with doctors during the operation,and improved the nursing process.The vital signs of patients during the surgery,the operation time,cardiopulmonary bypass time,aortic occlusion time,hospitalization time,prognosis and postoperative complications were observed and recorded. Results The surgery was successful and the intraoperative vital signs were stable.All of the patients were cured and discharged from the hospital,and no postoperative complications were found.The operation time was (232±33) min,cardiopulmonary bypass time (120±25) min,and aortic clamping time (91±29)min,hospitalization time (11±5) d. Conclusion It is minimally invasive,rapid recovery and with recent good results of the minimally invasive aortic valve replacement with right chest small incision.To do the preoperative education well,prepare preoperative articles and equipment sufficiently,cooperate with the operation actively and improve the operation room nursing process,is the key to the success of the surgery. |
| |
| Keywords: | |
|
| 点击此处可从《中华全科医学》浏览原始摘要信息 |
|
点击此处可从《中华全科医学》下载全文 |
|
