摘要
目的:探讨循环护理对重症风湿性心脏瓣膜置换术后患者的影响。方法:对36例重症风湿性心脏瓣膜病患者行瓣膜置换术,术后给予循环护理,严密监测血流动力学变化,及时发现并纠正低心排出量综合征、心律失常、出血及心包填塞,给予有效监护并遵医嘱应用血管活性药物。结果:本组患者发生低心排综合征5例,心律失常16例,死亡2例,其余均痊愈出院。使用呼吸机18.0～56.0 h,平均26.2 h;ICU停留28～94 h,平均42 h。结论:循环护理可提高重型风湿性心脏瓣膜置换术后患者存活率,减少并发症发生,值得临床推广应用。
Objective：To explore the effect of circulating nursing on patients with severe rheumatic heart disease after valve replacement surgery. Methods：36 patients with severe rheumatic heart disease underwent valve replacement surgery and were given circulation nursing after the operation, closely monitoring hemodynamic changes, finding and correcting low cardiac output syndrome, arrhythmia, hemorrhage and pericardial tamponade in time ; the patients were also given vasoactive drugs at the same time. Results ： Low cardiac output syndrome oc curred in 5 patients, arrhythmia in 16 patients ,2 patients died and the others were cured. The time of ventilation was 18 - 56 hours, aver agely 26.2 hours ; the length of stay in ICU was 28 -94 hours, averagely 42 hours. Conclusion： The circulating nursing can increase the sur vival rate of patients with severe rheumatic heart disease after valve replacement surgery and can reduce the incidence of complications.
关键词
重症
风湿性心脏瓣膜病
术后
循环护理
Severe case
Rheumatic heart disease
Postoperative
Circulation nursing
