小儿先天性心脏病介入封堵术中护理配合.docVIP

小儿先天性心脏病介入封堵术中护理配合 　　【摘要】 目的：探讨小儿先天性心脏病介入封堵术中的护理配合经验。方法：选取本院于2011年1月-2012年12月收治的79例行小儿先天性心脏病介入封堵术治疗的患者，根据介入术的手术特点开展术中护理配合。结果：79例患儿手术均顺利，封堵成功率100%，无严重并发症发生。封堵器位置准确稳定，未影响周围结构功能，杂音基本消失，无明显的胸闷、胸痛。术后3 d复查TTE无1例残余分流，复查胸部正侧位片可见封堵器影，疗效满意确切。结论：实施科学、合理、有效的术中护理配合，不仅能够提高先天性心脏病介入封堵术的成功率，还能降低术中并发症发生率，敏锐的术中观察及熟练的术中护理配合是完成手术的重要保证。 　　【关键词】 小儿先天性心脏病； 介入封堵术； 临床护理路径； 术后并发症 　　Nursing of Interventional Occlusion for Congenital Heart Disease in Children/WEI Hong-mei.//Medical Innovation of China，2013，10（35）：062-064 　　【Abstract】 Objective：To explore nursing strategies in the interventional treatment of congenital heart disease，and to accumulate experience for clinical nursing. Method：Seventy-nine cases with congenital heart disease were selected from January 2010 to December 2011 in the hospital and treated with the interventional therapy. According to the operation characteristics of interventional therapy， nursing cooperation during the operation was provided. Result：Seventy-nine patients successfully completed operation， the successful rate was 100%， without serious complications. The position of occluder was accurate and stable， the surrounding structure function was not affected， the murmur was disappeared， no chest tightness， chest pain. After 3 days of the operation， no residual shunt with TTE during reviewing， and lateral chest radiographs were visible occluder shadow. Conclusion：The implementation of scientific nursing in operation， is reasonable， effective. It not only can improve the success rate of congenital disease interventional operation， but also can reduce the incidence of complications. It is worth popularizing in clinic. 　　【Key words】 Children with congenital heart disease； Amplatz closure； Clinical nursing pathway； Postoperative complications 　　First-author’s address： Mount Nanxi Hospital of Guangxi Zhuang Autonomous Region，Guilin 541002，China 　　doi：10.3969/j.issn.1674-4985.2013.35.030 　　先天性心脏病是新生儿或儿童常见的心脏疾病，该病不仅会降低患儿的生活质量，更是会威胁小儿的生命安全[1]。所以，针对该病的临床诊治已经引起国内外专家