二尖瓣关闭不全行缘对缘成形治疗的术后护理

Postoperative nursing for edge-to-edge repair in the treatment of mitral valve insufficiency

  • 摘要: 目的:总结25例行“缘对缘”成形术治疗二尖瓣关闭不全患者的术后护理经验。方法术后维持血流动力学稳定,防止发生低心排出量综合征,及时发现并纠正心律失常,预防心包填塞,维持有效的呼吸功能,保护肾功能,预防急性肾衰,防栓塞,有效抗凝治疗等。结果术后1例患者出现低心排综合征,6例出现心律失常,经及时治疗后好转,术后8 d 均顺利出院。结论行“缘对缘”成形术后患者经有效的护理措施的落实,及时处理各种术后并发症,可提高手术疗效,促进患者康复。

     

    Abstract: Objective To summarize the postoperative nursing experience on 25 patients with edge-to-edge repair in the treatment of mitral valve insufficiency.Methods The postopera-tive nursing strategies mainly included maintaining stable hemodynamics and effective respiration, preventing low cardiac output syndrome and cardiac temponade,correcting arrhythmia timely,pro-tecting renal function,and anticoagulation therapy.Results One patient suffered from low cardiac output syndrome,and 6 patient s experienced arrhythmia.All of them got recovered after treat-ment.Every patient was discharged on the 8th postoperative day.Conclusion With effective nursing strategies for patients after edge-to-edge repair in the treatment of mitral valve insufficien-cy,various complications could be recognized and treated in time,the perioperative efficacy are im-proved and recover of patients could be promoted.

     

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