感染性心内膜炎合并右侧孤立肾换瓣术后护理

目的探讨感染性心内膜炎合并先天性孤立肾患者瓣膜置换术后的护理要点。方法对2012年12月收治的1例行心脏瓣膜置换的感染性心内膜炎合并先天性孤立肾患者，在积极防范术后心脏瓣膜感染基础上，重点就其孤立肾肾功能的保护、监测及相关合并症的护理方法进行回顾总结。结果患者心脏瓣膜置换手术成功，孤立肾。肾功能得到有效保护，痊愈出院。结论对于感染性心内膜炎伴先天性孤立肾患者，换瓣术后应密切观察每小时尿量及24h出入量，早期介入，早期干预，全面保护其肾脏功能。

Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side

Objective To discuss the key nursing points for patients with infective endocarditis and congenital isolated kidney after valve replacement. Methods In December 2012, one infective endocarditis patient with isolated kidney underwent heart valve replacement in our hospital. In addition to actively preventing postoperative infection of the heart valve, our nursing focused mainly on the isolated kidney protection and monitoring, and the related complications. Results The surgery was successful, and the isolated kidney was effectively protected. The patient recovered and was discharged from the hospital. Conclusions For patients with congenital isolated kidney with infective endocarditis, patients＇ urine output per hour and 24 h discrepancy quantity should be closely observed after valve replacement surgery. It is also very important to intervene early and carry out comprehensive protection of the renal function.