先天性心脏病患儿术后使用临时起搏器的临床护理

目的 探讨先天性心脏病术后患儿使用临时起搏器的临床护理方法及意义.方法 28例先天性心脏病患儿均因心脏术后出现心律失常而放置起搏导线进行起搏治疗,应用时间为4～14d.对术前准备、心电监测、起搏器的护理、患者体位安置、维持电解质平衡、皮肤护理、并发症的观察与护理等方面进行观察.结果 2例因Ⅲ度房室传导阻滞而改为放置永久性起搏器,其余26例逐渐恢复自主心律,均无使用心脏起搏器引起的并发症.结论 先天性心脏病术后应用临时起搏器的患儿经过医护的协作治疗及护理,可顺利缓解心律失常给患儿带来的不利影响,促进患儿术后恢复.

Clinical nursing of postoperative children with congenial heart disease using temporary pacemaker

Objective To sum up the clinical nursing method and significance in the postoperative children patients with temporary pacemakers after congenial heart disease surgery.Methods 28 children patients were treated by temporary pacemakers for 4-14 d after open-heart surgery because of arrhythmia.Preoperative preparation,electrocardiographic monitoring,body position placement,maintaining electrolyte balance,skin nursing,complications observation and nursing were observed.Results 2 cases were converted to place permanent pacemaker due to third degree AV block.Other 26 cases gradually recovered autonomous cardiac rthythrm.No complications caused by cardiac pacemaker occurred.Conclusion In the children patients with temporary pacemakers after congenial heart disease surgery,the doctor-nurse co-operation treatment and intensive nursing care can smoothly alleviate the adverse impact caused by arrythmia and promote the postoperative recovery.