经胸小切口食管超声心动图引导下室间隔缺损外科封堵术及围手术期护理

目的 探讨经胸小切口食管超声心动图(TEE)引导下室间隔缺损(VSD)封堵术的效果,总结其围手术期护理体会.方法 以2014年1月-2016年8月开展的经胸小切口TEE引导下VSD外科封堵术治疗的13例手术作为观察组.以抽样随机方法选择同期开展的13例体外循环下VSD修补手术作为对照组,对两组病人住院时间、手术时间,术中出血、输血量、住院费用等方面进行比较.结果 与对照组相比,观察组在住院时间、手术时间、术中出血和输血量等方面均差异有统计学意义(P<0.05).结论 经胸小切口TEE引导下VSD封堵术较体外循环下VSD修补术减少了对病人身体的损伤,更有利于病人的康复,围手术期的精心护理是手术安全的关键之一.

The nursing in perioperative period and the surgery occlusionof ventricular septal defect via minimally invasive underthe guidance of transesophageal echocardiography

Objective To explore the application effect of minimally invasive ventricular septal defect (VSD) occlusion procedure under the guidance of transesophageal echocardiography (TEE) and by summarizing its advantage and safety,to explore the nursing experience during the perioperative period.Methods The patients were divided into 2 groups during Jan.2014 and Aug.2016:experimental group (n=13) were treated with minimally invasive occlusion procedure under the guidance of TEE;control group (n=13) received extracorporeal circulation open heart surgery.The duration of hospital residence,operation time,intraoperative bleeding,blood transfusion,hospitalization expenses were compared.Result The duration of hospital residence,operation time,intraoperative bleeding,blood transfusion,hospitalization expenses were significantly lower in experimental group than in control group (all P<0.05).Conclusion Compare with extracorporeal circulation open heart surgery,minimally invasive occlusion procedure under the guidance of TEE can reduce trauma and speed up recovery.Meticulous nursing during the perioperative period is one of the keys to the operation safety.