直视微创心脏小切口手术的护理配合

目的总结直视微创心脏小切口手术的护理配合要点。方法对271例患者实施直视微创心脏小切口手术，做好手术配合并实施相应的护理。结果患者手术顺利，平均体外循环时间（117.3±47．1）min，主动脉阻断时间（82．6±32．1）min。无术后并发症发生，均痊愈出院，住院时间（6．8±2．6）d。围术期及出院后无1例死亡。结论直视微创心脏手术的近期手术效果良好，手术安全性高。术前做好患者配合手术的健康指导，术中做好手术配合是手术成功的重要措施。

Nursing cooperation during minimally invasive cardiac surgery

Objective To summarize the main points of nursing the patients during small incision minimally invasive cardiac surgery. Methods Two hundred and seventy-one patients underwent small incision minimally invasive cardiac surgery during April 2010 and December 2010. The cooperative nursing was performed. Results The patients went well with the operations, with the average extracorporeal circulation time of （117.3 ± 47.1） min and aorta blocking time of （82.6 ± 32.1） min. All of the patients were discharged, without postoperative complications. （6.8±2.6） d. Perioperative and after discharge with no deaths. Postoperative recovery and no postoperative complications, were recovered and discharged without any complications. The postoperative hospital length of stay was （6.8 ± 2.6） d. Conclusions The minimally invasive cardiac surgery is effective and safe. The preoperative health education and intraoperative nursing cooperation are critical for the operative success.