| 1例左心房巨大球形血栓致急性左心衰竭患者围手术期的护理 |
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| 引用本文： | 张燕,徐敏,陈丽莉,余婷,陈娜,汪炜健.1例左心房巨大球形血栓致急性左心衰竭患者围手术期的护理[J].中华护理杂志,2022,57(7):859-862. |
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| 作者姓名： | 张燕 徐敏 陈丽莉 余婷 陈娜 汪炜健 |
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| 作者单位： | 325000 温州市 温州医科大学附属第一医院手术室（张燕,徐敏,陈娜）,护理部（陈丽莉）,麻醉科（汪炜健）;浙江大学医学院附属邵逸夫医院手术室（余婷）浙江大学医学院附属邵逸夫医院手术室（余婷）325000 温州市 温州医科大学附属第一医院手术室（张燕,徐敏,陈娜）,护理部（陈丽莉）,麻醉科（汪炜健）;浙江大学医学院附属邵逸夫医院手术室（余婷） |
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| 基金项目： | 温州市科技局基础性医疗卫生科技项目(Y20210604) |
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| 摘 要： | 总结1例左心房巨大球形血栓阻塞二尖瓣口导致急性左心衰竭患者围手术期的护理经验。护理要点包括迅速完善术前准备、启动心脏专库应急团队、做好设备和物品准备;术中快速建立体外循环、加强血液管理、分阶段进行体温管理、积极进行血糖管理、采取集束化手术感染管理;术后并发症的管理和心理护理。经过多学科的救治及精心的护理,患者手术顺利,术后恢复良好,27 d后出院。
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| 关 键 词： | 左心房血栓 心力衰竭 体外循环 围手术期护理 |
| 收稿时间： | 2021-06-22 |
Perioperative nursing care in a patient with acute left heart failure caused by giant ball thrombus in left atrium |
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| ZHANG Yan,XU Min,CHEN Lili,YU Ting,CHEN Na,WANG Weijian.Perioperative nursing care in a patient with acute left heart failure caused by giant ball thrombus in left atrium[J].Chinese Journal of Nursing,2022,57(7):859-862. |
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| Authors: | ZHANG Yan XU Min CHEN Lili YU Ting CHEN Na WANG Weijian |
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| Abstract: | To summarize perioperative nursing care in a case with acute left heart failure caused by giant ball thrombus blocking micro orifice in left atrium. The nursing points are as follows：quickly improving pre-operative preparations,activating the emergency team of the cardiac special bank,and preparing equipment and items;during the operation,rapidly establishing extracorporeal circulation,strengthening the blood management,carrying out the phased temperature management,conducting active blood sugar management and clustered surgical infection management;management and psychological care of post-complication. The patient was well rehabilitated and discharged from the hospital 27 days after surgery. |
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| Keywords: | Left Atrial Thrombus Heart Failure Extracorporeal Circulation Perioperative Nursing |
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