Background Objective To summarize the nursing experience of 9 cases of double-hole thoracoscopic aortic valve replacement.Methods From February 2021 to February 2022,9 patientsdiagnosed with severe aortic valve diseas...Background Objective To summarize the nursing experience of 9 cases of double-hole thoracoscopic aortic valve replacement.Methods From February 2021 to February 2022,9 patientsdiagnosed with severe aortic valve disease were enrolled,including 6 males and 3 females,with an average age(50.89±5.3)years,all of whom used double-hole thoracoscopic aortic valve replacement.Implement targeted surgical nursing plans,strengthen condition monitoring,surgical nursing cooperation,and take effective nursing interventions to urgently respond to intraoperative complications.Results Among the 9 patients,7 patients underwent mechanical valve replacement and 2 patients underwent biovalve replacement,of which 2 patients underwent aortic root enlargement surgery at the same time,and none of the patients underwent intraoperative emergency transfer orthothoracotomy.The extracorporeal bypass time was(137.56±27.99)min,the aortic occlusion time was(95.33±17.96)min,and the surgical survival rate was 100%;All patients had well-placed aortic valves,and 2 had mild(<2 cm2)perivalvular leakage.The postoperative recovery time was short,the ventilation time was 6.13(4.43,19.99)h,of which 8 patients were extubated within24 hours,and the ICU length of stay was(2.68±1.3)days,and no deaths and complications occurred.Conclusion For patients with simple aortic valve disease,double-hole thoracoscopic aortic valve replacement is a safe and effective surgical treatment with good early clinical results.Implement a scientifically based nursing plan during surgery to effectively prevent complications,promote early recovery,and improve the quality of nursing.展开更多
Objective: spontaneous pneumothorax was treated by single-hole thoracoscope and double-hole thoracoscope respectively, and the effects of the two treatments were compared. Methods: 102 patients with spontaneous pneumo...Objective: spontaneous pneumothorax was treated by single-hole thoracoscope and double-hole thoracoscope respectively, and the effects of the two treatments were compared. Methods: 102 patients with spontaneous pneumothorax in our department from January 2018 to December 2019 were taken as observation objects, and divided into the research group treated by single-hole thoracoscope and the reference group treated by double-hole thoracoscope, and the effects of the two treatment methods were compared. Results: (1) compared with the reference group, the amount of operative hemorrhage in the study group was 19.57±2.86(ml) and that in the reference group was 26.59±3.14(ml), (t = 9.806,P = 0.000), with different results. (2) In the comparison of hospitalization time between the research group and the reference group, the research group is 5.47±0.67 (d) and the reference group is 8.14±0.72 (d), (t = 10.257, P = 0.000), the results are different. Conclusion: single-hole thoracoscope is effective in the treatment of spontaneous pneumothorax, and this method can be popularized clinically.展开更多
基金supported by National Key Researchand Development Program of China(No.2022YFC2407406)2022 Stability Support for Innovative Capacity Building of Guangdong Provincial Scientific Research Institutions(No.KD022022015)Science and Technology Program of Guangzhou,China(No.202206010049).
文摘Background Objective To summarize the nursing experience of 9 cases of double-hole thoracoscopic aortic valve replacement.Methods From February 2021 to February 2022,9 patientsdiagnosed with severe aortic valve disease were enrolled,including 6 males and 3 females,with an average age(50.89±5.3)years,all of whom used double-hole thoracoscopic aortic valve replacement.Implement targeted surgical nursing plans,strengthen condition monitoring,surgical nursing cooperation,and take effective nursing interventions to urgently respond to intraoperative complications.Results Among the 9 patients,7 patients underwent mechanical valve replacement and 2 patients underwent biovalve replacement,of which 2 patients underwent aortic root enlargement surgery at the same time,and none of the patients underwent intraoperative emergency transfer orthothoracotomy.The extracorporeal bypass time was(137.56±27.99)min,the aortic occlusion time was(95.33±17.96)min,and the surgical survival rate was 100%;All patients had well-placed aortic valves,and 2 had mild(<2 cm2)perivalvular leakage.The postoperative recovery time was short,the ventilation time was 6.13(4.43,19.99)h,of which 8 patients were extubated within24 hours,and the ICU length of stay was(2.68±1.3)days,and no deaths and complications occurred.Conclusion For patients with simple aortic valve disease,double-hole thoracoscopic aortic valve replacement is a safe and effective surgical treatment with good early clinical results.Implement a scientifically based nursing plan during surgery to effectively prevent complications,promote early recovery,and improve the quality of nursing.
文摘Objective: spontaneous pneumothorax was treated by single-hole thoracoscope and double-hole thoracoscope respectively, and the effects of the two treatments were compared. Methods: 102 patients with spontaneous pneumothorax in our department from January 2018 to December 2019 were taken as observation objects, and divided into the research group treated by single-hole thoracoscope and the reference group treated by double-hole thoracoscope, and the effects of the two treatment methods were compared. Results: (1) compared with the reference group, the amount of operative hemorrhage in the study group was 19.57±2.86(ml) and that in the reference group was 26.59±3.14(ml), (t = 9.806,P = 0.000), with different results. (2) In the comparison of hospitalization time between the research group and the reference group, the research group is 5.47±0.67 (d) and the reference group is 8.14±0.72 (d), (t = 10.257, P = 0.000), the results are different. Conclusion: single-hole thoracoscope is effective in the treatment of spontaneous pneumothorax, and this method can be popularized clinically.
