主动脉瓣膜重度狭窄行经导管主动脉瓣膜置入术的围手术期管理

目的探索主动脉瓣膜重度狭窄行经导管主动脉瓣膜置入治疗患者的围手术期管理.方法选择1例主动脉瓣膜重度狭窄行经导管主动脉瓣膜置入治疗的患者,组成多学科协作手术团队,术前充分评估,术中严密监测,术后安全监护(CCU)及康复,定期随访.结果本例手术成功,无处置及护理不当并发症;随访12个月,患者活动后胸闷症状明显缓解,活动耐力逐步提升,生存质量提高.结论利用团队优势,做好围手术期管理,可以顺利完成手术,促进患者康复.

Perioperative management of catheter placement operation for patients with aortic valve severe stricture

Objective To explore the perioperative management of catheter placement for patients with aortic valve severe stricture.Methods One patient with aortic valve severe stricture was recruited and treated with catheter placement through the aortic valve.We set up a multi-disciplinary and specialized operation team,and conducted the preoperative assessment,intraoperative monitoring and postoperative safety monitoring(CCU) as well as rehabilitation and regular follow-up.Results The operation was successful and there was no improper nursing complication.The patient was followed up for 12 months,and the data showed that she had significantly relief of chest tightness after activity.The patient’s activity endurance had been promoted step by step which also indicated the improvement of her survival quality.Conclusion Catheter placement operation for patient with aortic valve severe stricture can be successfully completed by specialized operation team and personalized perioperative management.