法洛四联症术后心脏重症监护护理体会

目的: 探讨法洛四联症根治术后重症监护的护理措施。方法: 对62例法洛四联症(tetralogy of Fallot,TOF)患儿术后重症监护期间的护理措施进行回顾性分析。结果: 全组手术成功61例,死亡1例,重症监护期间并发灌注肺5例,低心排出量综合征6例,神经系统并发症3例,急性肾衰竭6例。平均心脏重症监护(CICU)(2.4±0.6)天,呼吸机平均使用(8.9±2.7)h。多巴胺平均使用剂量为(6.7±0.2)μg·kg-1·h-1,平均使用(42±3)h。经加强CICU监护及治疗,61例康复出院,1例死于肾衰竭。结论: 加强CICU监护、及时发现并发症是TOF患者术后康复的重要保障。

Experience of nursing in postoperative cardiac intensive care for tetralogy of Fallot

Objective: To investigate the nursing methods for tetralogy of Fallot(TOF) in postoperative cardiac intensive care unit(CICU) caring methods.Methods: Sixty-two patients with TOF operated in our department were analyzed and the postoperative CICU care was given.Results: Sixty-one patients recovered completely.One patient died unfortunately.Pulmonary perfusion syndrome happened in five patients.Six underwent low cardiac output syndrome.Central neural complications occurred in three ones.Acute renal failure(ARF) occurred in six patients.The mean CICU caring time was(2.4±0.6)days.The mean time of artificial ventilation was(8.9±2.7) hours.The mean dosage and time of dopamine treatment was(6.7±0.2)μg·kg-1·h-1 and(42±3)hours respectively.All of the patients underwent CICU care and one died of ARF unfortunately.The others recovered completely.Conclusions: Intensive CICU care and early diagnosis of complications in time are essential for the treatment of TOF.