共查询到20条相似文献,搜索用时 78 毫秒
1.
做好心脏瓣膜置换术围术期护理,减少围术期并发症是提高手术成功率的重要环节。2000年3月~2007年3月我院完成机械心脏瓣膜置换术98例,现将围术期护理报道如下。 相似文献
2.
3.
对112例心脏瓣膜病病人围术期护理要点进行总结。详细介绍了术前对病人心理的疏导、术后对呼吸系统、循环系统的监控、起搏器的护理和维护、抗凝治疗、肾功能监护、饮食护理及出院指导等护理要点的具体操作方法,为以后进行心脏瓣膜置换术围术期护理提供参考和依据。 相似文献
4.
老年心脏瓣膜置换术的围手术期护理26例 总被引:4,自引:1,他引:3
1996年4月~2003年8月,我院共施行了423例心脏瓣膜置换术,其中60岁以上老年患者26例,占同期手术的5.22%。通过实践和探索,我们总结了老年心脏瓣膜置换术围手术期的护理方法,现报告如下。 相似文献
5.
各种原因造成的瓣膜病晚期常需要进行外科心脏瓣膜置换术 ,围术期ICU治疗有其特殊性 ,现总结报告如下。1 资料与方法1 1 一般资料 全组病人共 2 9例 ,其中男 18例 ,女 11例 ,年龄 2 3~ 6 4岁 ,平均 33 8± 8岁。其中 2例为细菌性心内膜炎致瓣膜损害 ,其余均为风湿性心瓣膜病。其中单纯主动脉瓣损害 3例 ,单纯二尖瓣损害 16例 ,二尖瓣合并主动脉瓣损害 9例 ,二尖瓣合并三尖瓣损害 1例。病程 9个月~ 30年(平均 7 2年 ) ,心功能四级 2 5例 ,心功能三级 4例 ,心胸比例0 6 7~ 0 83,其中 >0 75者 11例 ,心电图除 2例窦性外其余皆为房… 相似文献
6.
目的 探讨心脏瓣膜置换术围手术期患者焦虑相关因素及护理对策。方法 应用医院焦虑抑郁量表(HAFD)调查确定是否存在焦虑,并应用自行设计的调查问卷调查其相关因素。在采取一定护理措施后应用围手术期心理护理效果评分表对患者进行评分。结果 全组患者均存在不同程度焦虑,其相关因素包括与疾病,医院环境及社会有关等3方面,用围术期心理护理效果评分表对所采取护理措施进行评价,满意者31例占45.59%。较满意33例占48.53%。不满意4例占5.88%。结论 心脏瓣膜置换术患者均存在不同程度焦虑反应,据不同反应因素。采取相应护理措施后,对缓解其焦虑,紧张情绪有良好作用,有利于术后早日康复,提高生活质量,减轻家庭,社会负担。 相似文献
7.
老年心脏瓣膜置换术患者围术期健康教育 总被引:12,自引:3,他引:9
目的 :观察老年心脏瓣膜置换术围手术期健康教育的效果。方法 :30例 >6 0岁的老年患者行心脏瓣膜置换术围手术期有计划、分阶段的健康教育。结果 :30例患者通过围手术期教育 ,2 9例均能积极配合治疗 ,无并发症发生。仅 1例出现肺部感染等。结论 :围手术期健康教育是保证手术成功的重要措施。 相似文献
8.
心脏瓣膜置换术围手术期处理 总被引:5,自引:0,他引:5
目的 探讨心脏瓣膜置换术围手术期血流动力学变化及其手术处理方法。方法 选取 4 3例重症心脏瓣膜病患者 ,均为风湿性二尖瓣和 /或主动脉瓣病变 ,分别行单瓣或双瓣置换术。围手术期采用Swan Ganz四腔气囊漂浮导管监测中心静脉压、右房压、肺动脉压、肺毛细血管楔压 ,并计算心排血量、心脏指数和周围血管阻力。结果 4 3例患者均安全度过围手术期 ,无早期死亡。结论 对重症心脏瓣膜病 ,维持血流动力学稳定和有效的心肌保护是围术期管理的关键。 相似文献
9.
心脏瓣膜置换术是心脏瓣膜外科中的常见手术,人工瓣膜置换术可有效改善瓣膜患者的症状,提高其成活率及生命质量[1].本院自2002年3月~2009年3月共施行心脏瓣膜置换手术56例,通过周密的围手术期护理,无1例护理并发症发生,现将护理体会报告如下. 相似文献
10.
11.
68例先天性心脏病介入治疗的围手术期护理体会 总被引:2,自引:1,他引:1
目的:总结68例先天性心脏病介入治疗围手术期的护理经验,进一步提高护理水平,减少手术并发症的发生。方法:对68例介入治疗患者,做好术前心理护理与常规准备及术后的护理,重点是心功能监测,穿刺部位的护理观察,抗凝、抗感染等药物治疗。结果:68例患者顺利完成介入治疗,恢复良好,均治愈出院,3个月后复查,效果满意。结论:全面完善术前心理护理与常规准备是保障手术顺利进行的前提,严密、细致的术后监测与观察护理可以减轻患者心理压力,预防、减少并发症,尽快恢复,减少住院时间。 相似文献
12.
目的:通过对胆石病病人围手术期进行针对性护理,使病人得到满意的治疗效果。方法:对287例胆石病病人围手术期的护理进行总结。结果:手术治愈278例,保守治疗好转8例,无效1例,治愈率96.86%。结论:成功的护理需要护士掌握专科知识、沟通技巧,做好针对性护理,以现代护理理念服务于病人。 相似文献
13.
食管癌患者围手术期护理 总被引:1,自引:0,他引:1
食管癌是一种常见的消化道癌变,此病首选治疗方法是手术治疗,而食管癌手术涉及胸腹腔、颈部及临近器官,创伤大,术后并发症多,尤其易出现呼吸功能不全、肺不张、肺炎等并发症。我院自2006年1月-2007年3月对53例食管癌根治术患者加强了围手术期护理,取得了满意的效果,现总结如下。 相似文献
14.
15.
16.
Stellon A 《Acupuncture in medicine : journal of the British Medical Acupuncture Society》2003,21(3):87-91
Endocarditis has been reported in patients with valvular heart disease who have undergone acupuncture treatment, although most have been associated with the use of semi-permanent needles. This has led reviewers to suggest that acupuncture may not only be contraindicated in such patients but that prophylactic antibiotics should be given. This study investigated the use of acupuncture treatment in patients with proven valvular heart disease and observed whether endocarditis developed in such patients. All patients in a single-handed GP practice with proven valvular heart disease, including those with prosthetic valves, were identified over a ten-year period. Those who had undergone acupuncture treatment underwent a clinical examination and diagnostic tests, which focused on the signs, symptoms and laboratory criteria for the diagnosis of endocarditis and included a transthoracic echocardiogram. Autopsy findings were reviewed in any patient who died. Based on these clinical and laboratory data, using the modified Duke's criteria for the diagnosis of endocarditis, patients were identified as having definite or possible endocarditis, or the diagnosis was rejected. All patients underwent brief acupuncture with no skin disinfectant and no prophylactic antibiotics were given. Semi-permanent needles were avoided. Thirty-six patients with valvular heart disease underwent a total of 479 acupuncture treatments over a ten-year period. The median number of treatments was 9 (range 1-72), with a follow-up after treatment of 5.75 years (range 0.5-10 years). Definite endocarditis was not found in any patient, but two patients had possible endocarditis, eventually discounted by both negative blood cultures and echocardiography. In conclusion, brief acupuncture was safe in this small cohort of valvular heart disease patients and no case of endocarditis was detected over a ten-year period. 相似文献
17.
Specific systemic autoimmune diseases are associated with distict valvular heart disorders. We discuss the valvular disorders associated with rheumatoid arthritis, systemic lupus erythematosus, antiphospholipid antibody syndrome, the seronegative spondyloarthropathies, the systemic vasculitides, and scleroderma. 相似文献
18.
目的:探讨高龄患者腹腔镜胆囊切除术的围术期护理效果。方法回顾性分析我院2009年4月至2012年4月收治入院的高龄胆囊结石患者100例临床资料,根据治疗护理方法不同分为两组,每组50例,两组患者均行腹腔镜胆囊切除术治疗,对照组常规护理干预,观察组实施围术期综合性护理干预,观察两组患者手术时间、术中出血量、术后首次肛门排气时间、住院时间等,并进行统计学分析。结果两组病例均成功完成手术,无死亡病例,所有患者均痊愈出院。其中对照组术中并发症2例,1例胆道损伤,1例切口感染,用药处理后均好转,观察组无并发症发生。观察组手术时间、术中出血量及进食时间、住院时间等均较对照组患者减少或降低,P<0.05,具有统计学意义。结论实施围术期综合性护理干预能够改善高龄患者术中情况,是成功进行手术的重要保证。 相似文献
19.
E K Daily 《Critical Care Nursing Clinics of North America》1989,1(2):339-357
Percutaneous balloon valvuloplasty is a new, nonsurgical technique for treatment of acquired mitral or aortic valvular stenosis. The procedure is still investigational and performed following approved research protocols. Although technically more difficult and at times impossible to perform, percutaneous BV of the mitral valve has been shown to be both safe and effective for increasing the mitral valve orifice area and for relief of symptoms associated with severe rheumatic mitral stenosis. Because of the relative infancy of the procedure, long-term data are available for only 1 to 2 years following BV. Thus far, however results obtained with mitral BV are similar to those obtained using surgical commissurotomy. From a long-term perspective, results of aortic BV in the elderly population are less impressive. The procedure appears to be only palliative and is associated with high rates of restenosis occurring fairly soon after the procedure. However, in the very elderly patient who is a nonsurgical candidate, aortic BV can provide improvement in aortic valve orifice size and in relief of debilitating symptoms associated with severe aortic stenosis. As with surgical aortic valve replacement, aortic BV also provides improvement over the natural course of the disease. More data are needed to aid in better definition and selection of patients who are suitable candidates for this procedure. 相似文献