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心脏瓣膜置换117例围术期护理体会
引用本文:李凤菊. 心脏瓣膜置换117例围术期护理体会[J]. 齐鲁护理杂志, 2006, 12(24): 2425-2426
作者姓名:李凤菊
作者单位:安阳市人民医院,河南,安阳,455000
摘    要:目的:探讨心脏瓣膜置换围手术期的护理方法。方法:对117例患者术前做好心理护理,行呼吸功能锻炼,术后做好生命体征、并发症的观察及护理。结果:瓣膜置换术后出现低心排出量综合征7例,顽固性心律失常4例,二次开胸止血4例。治愈112例,死亡5例,其中3例死于顽固性心律失常,2例死于低心排出量综合征。结论:加强心脏瓣膜病患者的术前护理,帮助患者保持良好的心理状态,术后严密监护,可提高护理成功率。

关 键 词:瓣膜置换  围手术期  护理
文章编号:1006-7256(2006)12-2425-02
修稿时间:2006-10-20

Experience in perioperative nursing care of 117 cases of heart valve replacement
Li Feng-ju. Experience in perioperative nursing care of 117 cases of heart valve replacement[J]. Journal of Qilu Nursing, 2006, 12(24): 2425-2426
Authors:Li Feng-ju
Abstract:Objective: To explore nursing methods in perioperative period of heart valve replacement.Methods: Psycho-nursing was taken well for 117 patients and training on respiratory function was carried out preoperatively.The postoperative nursing care focused on observation of vital signs and complication.Results: Low cardiac output syndrome happened to 7 patients,obstinate arrhythmia to 4 patients and second opening stanching to 4 patients.One hundred and twelve patients were cured,5 died,3 of them died of obstinate arrhythmia and 2 died of LCOS.Conclusion: Enhancing preoperative nursing care can help patients with vlvular disease keep healthy mental state and careful postoperative monitoring can increase rate of success of nursing care.
Keywords:Heart valve replacement  Perioperative period  Nursing
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