频发室早射频消融治疗护理体会.docVIP

频发室早射频消融治疗护理体会 　　摘要：目的总结对频发室早射频消融术患者的围手术期护理，早期发现并发症及时给予相应的处理，提高护理质量。方法对15例均无器质性病变的右室流出道频发室早，有不适感患者行术前指导，术中护理，术后行心电监测，穿刺肢体护理等。结果15例手术均获成功，有1例术后3 h出现偶发室早，第2 d后恢复，再未复发。其余均无复发，未发生感染，心脏压塞等并发症。结论对射频消融术治疗的患者术前教育，心理护理，术前指导，术中术后的认真护理都能有效保证手术的成功及减少并发症的发生，因此认真细致做好护理工作对手术的成功有很大帮助，保证手术的顺利进行及成功率。 　　关键词：室性早搏；射频消融；护理 　　Radiofrequency Catheter Ablation of Frequent Premature Ventricular Contractions of the Nursing Experience 　　LI Yong-hui,WANG Yu-mei 　　(The Third Hospital of PLA,Baoji 721000,Shaanxi,China) 　　Abstract：ObjectiveTo summarize the perioperative period nursing operation of frequent premature ventricular radiofrequency ablation in patients with early discovery of complications, timely appropriate treatment, improve the quality of nursing care. MethodsFrequent ventricular premature without organic lesions in 15 patients with right ventricular outflow, discomfort in patients with preoperative guidance, intraoperative, postoperative ECG monitoring, the puncture body care. Results15 cases of operation were successful, one case of postoperative 3 hours of the onset of sporadic PVCs, recover in second days, and then not relapse. The rest had no recurrence, no infection, cardiac tamponade complications. ConclusionPreoperative education, of radiofrequency ablation in the treatment of psychological nursing, preoperative instruction, careful nursing after operation can effectively guarantee the success of the operation and reduce the incidence of complications, so careful nursing on the success of the operation is of great help, to ensure the smooth operation and the success rate. 　　Key words：Premature ventricular; Radiofrequency ablation; Nursing室性早搏是一种常见的心律失常，可见于正常人和各种心脏病患者。以前大家都认为器质性心脏病引起的室早较有危害性，其实室早本身不会有危害性，而是由室早引起的室性心律失常导致患者的死亡率增加，近几年越来越多的研究证明正常心脏的频发室早也并非是良性的也需要积极干预。 　　射频消融的方法是将电极导管经股静脉置入心脏，用电生理标测技术找到心内异常电传导通道或异位起搏点，通过导管将100 KHZ~1.5 MHZ的射频电流导入局部心肌，使局部组织产生凝固性坏死，达到阻断消灭异位起搏点的目的，从而根治心律失常。射频消融手术最早应用于室上速治疗，近几年用来室早消融，成功率高，副作用小，而且可以有效改善因室早导致的心肌病样改变，越来越被大家推广并接受。现将护理体会总结如下。 　　1临床资料 　　本组