摘要
目的回顾性分析新生儿完全性肺静脉异位引流(TAPVC)矫治术安全性,并总结其术后护理体会。方法对我院2012年1月至2016年12月TAPVC新生儿21例,TAPVC术后采取的护理措施包括:心功能的监测与处置、呼吸功能的监测与处置、营养支持、严格执行无菌操作技术以防感染的发生。结果死亡2例,家属放弃治疗1例,病死率9.52%。18例存活者术后复查结果满意,出院后随访1～36个月,身体发育、活动能力正常。结论完全性肺静脉异位引流是一种需要出生后尽早治疗的先天性心脏病,如伴随梗阻需在新生儿时期及时手术,满意的解剖矫治、合适有效的护理措施,有助于降低术后并发症,减少死亡率,提高手术成功率。
Objective To analyze retrospectively the safety of total anomalous pulmonary venous connection(TAPVC)applied to newborn,and summarize the postoperative nursing experience.Methods To select 21 cases of newborn accepted TAPVC in our hospital from January 2012 and December 2016,TAPVC postoperative nursing measures including:monitoring and management of cardiac function,respiratory function monitoring and disposal,nutritional support,strict aseptic technique to prevent the occurrence of infection.Results The 2 cases of death,1 case of withdrawing treatment and 9.52%fatality rate.Eighteen survivors were satisfied with the results of postoperative review,and were followed up for 1-36 months after discharging from hospital,and their physical development and activity were normal.Conclusion It is conclude that that total anomalous pulmonary venous connection is a congenital heart disease which needs to be treated as soon as possible after being delivery,if a patient with an obstruction disease,which should be operated timely in the neonatal period.Satisfactory anatomic correction,suitable and effective nursing measures,can help to reduce postoperative complications and death rate,therefore,improve the success rate of operation.
作者
姚洁
杨帆
姚俊平
朱晓丽
王建明
YAO Jie;YANG Fan;YAO Jun-ping;ZHU Xiao-li;WANG Jian-ming
出处
《护理实践与研究》
2018年第7期69-71,共3页
Nursing Practice and Research
关键词
完全性肺静脉异位引流
术后护理
新生儿
Total anomalous pulmonary venous connection
Postoperative nursing
Newborn
