Psychological care after heart transplantation and rehabilitation guide.doc

Psychological care after heart transplantation and rehabilitation guide [Keywords:] psychological care and rehabilitation guidance to heart transplantation Heart transplantation is the treatment of end-stage heart surgery is the only effective means. Our hospital in June 2005 to January 2007 heart transplant successfully performed in 2 cases. (The first case in our hospital were in Sichuan Province after the operation of two months successfully recovered and was discharged in good condition is to survive. now two cases of postoperative care and rehabilitation of psychological knowledge and education are described below. 1 Clinical data 1.1 Case 1 male patient, 57 years old, tired and shortness of breath due to recurrent heart more than a year, increased in April admitted. Echocardiography showed: heart increases, aortic valve regurgitation, two, tricuspid valve regurgitation, left ventricular and diastolic function was significantly reduced, EF: 29%, dilated cardiomyopathy. electrocardiogram showed: sinus rhythm, right atrial and right ventricular hypertrophy, complete right bundle branch block. inpatient diagnosis: dilated (end-stage heart expanded, sinus rhythm, frequent ventricular premature with paroxysmal ventricular tachycardia, grade cardiac function. on June 28, 2005 in the cardiopulmonary bypass (CPB following orthotopic heart transplantation purposes, was discharged after two months , is a good survival, cardiac function . 1.2 Case 2 male patients, aged 46, with shortness of breath due to recurrent heart is tired leg edema 1 year hospitalized. Echocardiography showed: heart increases, two, tricuspid valve regurgitation, left ventricular systolic and diastolic function to reduce, EF: 25 %, pulmonary artery systolic pressure 25mmHg. electrocardiogram showed: sinus rhythm, left ventricular hypertrophy with strain, left branch block. inpatient diagnosis: dilated cardiomyopathy, heart function , on January 19, 2007 in the cardiopulmonary bypas