| 心脏瓣膜病围术期恶性室性心律失常应用β-受体阻滞剂的护理体会 |
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| 引用本文： | 李坤.心脏瓣膜病围术期恶性室性心律失常应用β-受体阻滞剂的护理体会[J].实用临床医药杂志,2011,15(22). |
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| 作者姓名： | 李坤 |
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| 作者单位： | 江苏省中医院心胸外科,江苏南京,210029 |
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| 摘 要： | 目的回顾性评估心脏瓣膜病围术期并发恶性室性心律失常,应用β-受体阻滞剂治疗的护理体会。方法收集本科风湿性心脏瓣膜病术前1周—术后1月出现恶性室性心律失常的患者52例,均用床边心电监测,一旦发现恶性室性心律失常,予β-受体阻滞剂静脉注射,严密监测血流动力学及电解质变化,重视用药护理。结果恶性室性心律失常得到有效控制,52例患者均治愈。结论发生室性心律失常的患者使用β受体阻滞剂治疗,配合良好的护理和监测可使药物疗效更加满意。
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| 关 键 词： | 心脏瓣膜病 恶性室性心律失常 β-受体阻滞剂 护理 |
Nursing experience of Beta blocker in treating perioperative malignant ventricular arrhythmia in adult rheumatic valves patients |
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| LI Kun.Nursing experience of Beta blocker in treating perioperative malignant ventricular arrhythmia in adult rheumatic valves patients[J].Journal of Clinical Medicine in Practice,2011,15(22). |
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| Authors: | LI Kun |
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| Institution: | LI Kun(Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing,Jiangsu,210029) |
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| Abstract: | Objective To Retrospectively assess the nursing experience of β-receptor blockers in treating perioperative malignant ventricular arrhythmias of adult rheumatic valves patients.Methods The data of 52 adult rheumatic valves patients with malignant ventricular arrhythmias from the first week before surgery to 1 month after the operation was collected.Ventricular arrhythmias were detected by bedside monitor.Once malignant ventricular arrhythmia was found,β-receptor blocker injection was used.Nurses monitored the haemodynamics and electrolyte strictly,paying close attention to effects of pharmaceutical drugs.Results Malignant ventricular arrhythmias were effectively controlled.All 52 patients recovered. |
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| Keywords: | perioperative heart valve operation malignant ventricular arrhythmia β-receptor blocker nursing |
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