巨大心脏瓣膜置换术后护理

目的：探讨巨大心脏瓣膜置换术后的护理特点。方法：按心腔扩大的程度不同，将1997年10月至2000年6月65例巨大心脏瓣膜病的患者分成左房型（30例）、左室型（30例）和全心型（5例）。根据各型表现出的临床特点进行不同的监护。结果：28例发生并发症（左房型12例，左室型11例，全心型5例）均治愈出院；2例死亡（1例左房型，1例左室型）。病死率3.08%。结论：巨大心脏瓣膜置换术后应针对分型特点进行不同的监护，预防为主，减少盲目性，达到术后减少并发症和降低病死率，促进患者康复的目的。

Nursing care after heart valve replacement operation for patients with cardiomegaly

Objectives:To discuss the characteristics of nursing care of patients with cardiomegaly after heart valve replacement operation. Methods:From October 1997 to January 2000, 65 patients with cardiomegaly received heart valve replacement operations. According to the degree of cardiomegaly, these patients were divided into 3 types: left atrium, left ventricle and whole heart cardiomegaly. Different nursings were applied depending on the features of each type. Results:Complications occurred in 28 patients(12 in left atrium,11 in left ventricle and 5 in whole heart cardiomegaly),all of whom were cured;2 patients died, the mortality rate was 3.08%. Conclusions: To lower the morbidity and mortality, different kinds of nursing care should be applied to different cardiomegaly after heart valve replacement operations.