Off-pump coronary artery bypass grafting surgery nursing.doc

Off-pump coronary artery bypass grafting surgery nursing [Keywords:] coronary artery bypass surgery nursing care August 2008 -2009 years 5 months, we were treated non-cardiopulmonary bypass coronary artery bypass grafting in 10 cases, the success rate of 100%. Now nursing care after the report is as follows. 1 Clinical data 1.1 General Information The group 9 males and 1 female, aged 65-78 years, mean 72.5 years old. Preoperative symptoms more than angina, 3 patients with hypertension, diabetes mellitus, 4 cases with myocardial infarction in 1. Artery angiography: 1 patient with single vessel disease, double vessel disease in 5 patients, 4 cases of multi-vessel disease. between preoperative functional class - grade, grade 1 case. 1.2 10 cases of surgical methods are directly implemented in the off-pump coronary artery bypass surgery, chest while taking great saphenous vein, 10 patients taking LIMA (LAM. clamp down in the aortic wall proximal anastomosis, bypass 2 per capita -5 expenditure. 1.3 Results 10 patients were in the operating room extubation. 24 hours after removal of pericardial and pleural drainage tube 8 cases, 72 hours after extubation in 2 cases. Postoperative care time 3-7 days, this group of patients recovered well . 2 Care 2.1 continuous ECG monitoring not only keeps the first 3 days after detection of heart rate and rhythm, oxygen saturation, central venous pressure changes, the routine day to do the standard 12-lead ECG 2, by observing the T wave, ST segment changes in effort to detect the occurrence of ischemia and myocardial infarction [1]. In order to get good tissue perfusion in patients with heart rate control in 60-80 times / copies [2], reduced myocardial oxygen consumption. 2.2 The close observation of blood pressure, blood perfusion to ensure that after detection of coronary arterial pressure, central venous pressure changes, maintaining blood pressure in 100-130/60-80mmHg, central