32例主动脉瓣病变患者Ozaki自体心包主动脉瓣成形术的护理配合

目的 总结我院采用OZAKI自体心包主动脉瓣膜成形术治疗主动脉瓣疾病的护理配合经验。方法 收集2015年11月—2019年12月我院32例主动脉瓣病变患者,均于静脉+吸入复合全身麻醉下接受OZAKI自体心包主动脉瓣膜成形手术。手术室器械护士术前熟知手术方案及步骤,提前准备瓣膜修复器械,配合自体心包瓣叶制作及缝合等手术步骤。巡回护士准备好心包固定液,准确记录戊二醛浸泡和冲洗时间。结果 32例主动脉瓣病变患者均手术修复成功取得满意效果,无围术期死亡、无护理并发症发生。术后1周复查超声心动图,主动脉瓣血液动力学纠正效果满意。结论 手术室护士熟知并掌握OZAKI自体心包主动脉瓣膜成形手术的方法及技术特点,护理配合应注意自体心包瓣叶制作的关键步骤,以及戊二醛溶液的配制及术中妥善管理,协助外科医生顺利完成手术。

Nursing Cooperation in Ozaki Technique for Aortic Valve Reconstruction: A 32-case Study

Objective To summarize the nursing experience in OZAKI technique for aortic valve reconstruction. Methods The data of 32 patients with aortic valve disease who underwent Ozaki procedure in our hospital from November 2015 to December 2019were collected. Instrument nurses should be familiar with surgical plan and procedures before surgery, prepare valve reconstruction equipment, and cooperate with surgeons in surgical procedures such as the preparation and suture of autologous pericardial cups. Circulating nursesshould prepare appropriate concentration of glutaraldehyde for immobilization of pericardial tissue and accurately record the duration of immersion and rinsing. Results Allthe surgeries of the 32 patients were completed successfully, achieving satisfactory results without perioperative death or nursing complications. Echocardiography was performed one week after the operation, showing satisfactory results of hemodynamic correction of aortic valve. Conclusion Nurses in operating room should be familiar with the process and technical characteristics of OZAKI technique for pericardial aortic valve reconstructionin order to assist surgeons to complete the operation successfully.Some key steps in the preparation of autopericardial leaflets as well as preparation and management of glutaraldehyde solution should be noticed during nursing cooperation.