1 case of aorta - descending aorta bypass grafting for the treatment of complex congenital heart disease coarctation of the aorta of Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 9 1 case of aorta - descending aorta bypass grafting for the treatment of complex congenital heart disease coarctation of the aorta of Perioperative Nursing [Keywords:] bypass grafting; coarctation of the aorta; Care Coarctation of the aorta in the various types of congenital heart disease accounted for 5% to 8%, which is seriously affecting the growth and development of children, and even the importance of congenital disorders leading to death. Early diagnosis and surgery is the only effective treatment. Now 1 patient in our hospital aorta descending aorta bypass grafting in the treatment of congenital heart disease, coarctation of the aorta complicated perioperative nursing, are as follows. 1 Clinical data 1.1 General information on male patients, aged 17, for “17 years found a heart murmur, chest pain 4 years, 1 month increased” income in our hospital. Examination: upper limb blood pressure 150/90 mm Hg, lower limb blood pressure 120/90 mm Hg, upper limb Pulse 46 times / min, rhythm and tidy, beat a strong, lower extremity popliteal artery and the dorsalis pedis artery pulse palpable thin is not easy, no lower extremity edema, left sternal border 3 to 4 intercostal and systolic murmur could be heard. were positive after admission improve the inspection, line 64 CTA, cardiac ultrasound and echocardiography are: (1), aortic arch hypoplasia; (2) the aortic isthmus narrowing; (3) intermittent high degree AV block, frequent ventricular of the escape beat heart rate. diagnosed after cardiopulmonary bypass anesthesia “aorta - descending aorta bypass graft (artificial replacement of the descending aorta stenosis pipe), the dual-chamber right ventricle to clear the surgery.” operation, which lasted 10 h, patients after mechanical ventilation in patients after 40 h. left vocal cord paralysis, pleural effusion, WBC increased to 30.31 109 / L, after a careful treatment and care, after the successful removal of stitches, was discharged.