瓣膜置换术同期行射频消融术治疗风湿性心脏病合并房颤的术后护理

目的总结瓣膜置换术同期行射频消融术治疗风湿性心脏病合并房颤的术后护理要点。方法对行瓣膜置换术同期行射频消融术后的患者做好各项护理,包括监测心率、心律变化及合理应用胺碘酮,临时起搏器的规范使用,维护内环境稳定及心功能,胸腔引流液量的重要性和及时处理,以及应用口服抗凝药的护理指导。结果本组53例患者手术成功,均为窦性心律,1例因肝肾功能衰竭死亡。结论射频消融术后护理尤其重要,对患者术后生活质量的提高有一定的改善。

Postoperative nursing of patients with rheumatic heart disease combined with atrial fibrillation treated with valve replacement and radio frequency ablation

Objective To summarize the postoperative nursing of patients with rheumatic heart disease combined with atrial fibrillation treated with valve replacement and radio frequency ablation. Methods The nursing experience in 54 patients with rheumatic heart disease combined with atrial fibrillation treated with valve replacement and radio frequency ablation was summarized including monitoring heart rate, cardiac rhythm, reasonably use of amiodarone, standardized use of temporary pacemaker, maintaining cardiac function, keeping cardiac function, observing drainage volume and instructing them to take oral anticoagulant drugs. Results Of all, 53 cases were succeeded. One case died of renal failure and no complications occurred in other cases. Conclusion The nursing care after radio frequency ablation is critical and may be effective in enhancing their quality of life.