全机器人冠状动脉旁路移植术的护理

目的 探讨使用“达芬奇”机器人系统完成不开胸、非体外循环下心脏不停跳冠状动脉旁路移植术的护理要点.方法 选取2007年1月至2010年12月使用“达芬奇S”(da Vinic S)全机器人系统,完成不开胸、心脏不停跳下冠状动脉旁路移植术患者60例.所有患者术前均经冠状动脉造影证实有严重的前降支病变,合并有回旋支或右冠状动脉的局限性狭窄8例.对患者实施了全程的教育和护理.结果 60例患者术后心绞痛症状缓解,无手术相关并发症发生.术后检查桥血管通畅率为100％,患者全部顺利康复出院.结论 机器人冠状动脉旁路移植术是一种全新的术式,围手术期健康教育对患者很重要,术后早期注意观察引流有无出血的发生,做好肺部护理,尽早让患者下床活动,可促进各系统的恢复.

Nursing of totally robotic coronary artery byass grafting

Objective To study the nursing of totally endoscopic coronary artery bypass grafting (TECAB)using da Vinci robot.Methods 60 patients who accepted TECAB from January 2007 to December 2010 were selected.All patients underwent coronary arteriography,which showed severe stenosis in left anterior descending artery(LAD).8 of them complicated with right coronary artery stenosis or left circumflex coronary (LCX)stenosis.All patients were given education and nursing care from admission to discharge.Results After operation,angina pectoris alleviated in all cases,no surgery-related complications occurred.The bridge vessel was all cleared.All patients were discharged after rehabilitation.Conclusions Totally robotic TECAB is a new minimally-invasive surgery.Perioperative education is important.In early postoperative course,nurses should pay attention to bleeding condition of drainage and pulmonary nursing.Early postoperative exercise is a must,which can promote the recovery of all systems.