首页 | 本学科首页   官方微博 | 高级检索  
     

婴幼儿先天性心脏病室间隔缺损围手术期的护理
引用本文:殷秋阳,姜勇,白兴芹,陈凤娇. 婴幼儿先天性心脏病室间隔缺损围手术期的护理[J]. 护理实践与研究, 2006, 3(4): 9-11
作者姓名:殷秋阳  姜勇  白兴芹  陈凤娇
作者单位:252000,山东省聊城市人民医院
摘    要:目的:总结36例婴幼儿先天性心脏病室间隔缺损围手术期的护理。方法:手术前有效地改善心肺功能;手术后维持良好的循环功能,及时发现心律失常,持续监测有创动脉血压和中心静脉压,保持呼吸道通畅,适时脱离呼吸机、拔除气管插管;保持胸腔引流管通畅,观察引流量变化,防止心包填塞的发生;维持体液、电解质及酸碱平衡,严格控制补液量及补液速度。结果:本组36例,9例发生严重心律失常,其中2例出现室颤,肺炎8例,低心排综合征4例,肺高压危象3例,心包填塞二次开胸止血1例,切口感染1例。痊愈35例,1例因低心排综合征死亡。结论:加强围手术期护理,是降低室间隔缺损修补术后并发症和死亡率的关键因素。

关 键 词:婴幼儿  心脏病,先天性  室间隔缺损
收稿时间:2006-06-05
修稿时间:2006-06-05

Nursing care of infants with congenital heart of ventricular soptal defect in perioperation
YIN Qiuyang,JIANG Yong,BAI Xingqin,CHEN Fengjiao. Nursing care of infants with congenital heart of ventricular soptal defect in perioperation[J]. Attend to Practice and Research, 2006, 3(4): 9-11
Authors:YIN Qiuyang  JIANG Yong  BAI Xingqin  CHEN Fengjiao
Abstract:Objective:Sum up nursing care of 36 infants with congenrtal heart of ventricular septal defect .Method :To improve the functions of heart and lung effectively before operation;remainde good cycle function,found out cardic arrhythmia in time,monitored artery blood pressure and central vein pressure,remained air-way clear observed lead discharge remained body fluid,electro lyte and sour alkali balance ,and so on.Result:35 infants were cured and one case die a low heart row amount of blood syndrome.Conclusion:To enhance nursing care in perioperation was the key factor to reduce the complications and mortality of repair of ventricular septal defect .
Keywords:Infant   Heart disease, Congenital   Ventriculan septal defect
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号