1例人工心脏体内植入术患者的护理

胡文琳; 徐娟; 钱逸琼; 丁亚春; 韩林; 黄燕

doi:10.7619/jcmp.20214923

1例人工心脏体内植入术患者的护理

海军军医大学长海医院心血管外科, 上海, 200433

详细信息

通讯作者:
黄燕, E-mail: huangyanbangbang@126.com

中图分类号: R714;R473.6
计量
- 文章访问数: 259
- HTML全文浏览量: 141
- PDF下载量: 24
出版历程
- 收稿日期: 2021-12-14
- 网络出版日期: 2022-05-24

Nursing for one patient with artificial heart implantation in vivo

Department of Cardiovascular Surgery, Changhai Hospital Affiliated to Naval Medical University, Shanghai, 200433

摘要

摘要:
总结人工心脏移植术后患者的护理经验，术前培训医护人员左心室辅助装置相关技术，为患者及家属做好心理准备，实施术后循环系统监测、呼吸功能管理、抗凝管理、泵缆线及体外控制器管理，指导患者运动康复。
- 人工心脏 /
- 左心室辅助装置 /
- 终末期心力衰竭 /
- 运动康复
Abstract:
Nursing experience of patients after artificial heart transplantation are summarized, medical staff are trained for left ventricular assist devices before operation, help patients and their family members do psychological preparations and guide the patients for exercise and rehabilitation. Postoperative circulatory system monitoring, respiratory function management, anticoagulation management, pump cable and extracorporeal controller management are implemented.
- artificial heart /
- left ventricular assist device /
- end-stage heart failure /
- exercise rehabilitation

HTML全文

参考文献(21)

[1]	张岩, 孙寒松, 胡盛寿. 左心室辅助血泵及其临床应用研究进展[J]. 中国胸心血管外科临床杂志, 2017, 24(2): 152-155. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXYX201702013.htm
[2]	雷白. 左心室辅助装置抗栓治疗研究进展[J]. 中国循环杂志, 2020, 35(2): 200-205. doi: 10.3969/j.issn.1000-3614.2020.02.018
[3]	潘锋. 人工心脏将成为未来心衰治疗的主战场: 访中国工程院院士、中国医学科学院阜外医院院长胡盛寿教授[J]. 中国当代医药, 2020, 27(23): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202023073.htm
[4]	GODISHALA A, NASSIF M E, RAYMER D S, et al. A case series of acute myocardial infarction in left ventricular assist device-supported patients[J]. ASAIO J, 2017, 63(2): e18-e24. doi: 10.1097/MAT.0000000000000401
[5]	GEDELA M, GOHAR A, JONSSON O. A brief review of left ventricular assist devices and their management[J]. S D Med, 2019, 72(1): 19-26.
[6]	DESAI S R, HWANG N C. Advances in left ventricular assist devices and mechanical circulatory support[J]. J Cardiothorac Vasc Anesth, 2018, 32(3): 1193-1213. doi: 10.1053/j.jvca.2018.01.026
[7]	DANG G, EPPERLA N, MUPPIDI V, et al. Medical management of pump-related thrombosis in patients with continuous-flow left ventricular assist devices: a systematic review and meta-analysis[J]. ASAIO J, 2017, 63(4): 373-385. doi: 10.1097/MAT.0000000000000497
[8]	彭洁婧, 曾珠, 邓永鸿, 等. 5例左心室辅助装置植入患者的术后护理[J]. 中华护理杂志, 2020, 55(9): 1346-1348. doi: 10.3761/j.issn.0254-1769.2020.09.012
[9]	郑瑞玉, 李敏宜, 张运平, 等. 老年术后患者全静脉营养治疗中预防心力衰竭的输液管理[J]. 护理学杂志, 2014, 29(16): 43-45. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201416019.htm
[10]	欧阳生珀, 童荣生. 人血白蛋白的合理应用概述[J]. 中国医院药学杂志, 2021, 41(4): 425-429. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYZ202104019.htm
[11]	翟忠昌, 刘玉娥, 杨林杰, 等. 6例植入连续血流左心室辅助装置患者的术后护理[J]. 护理学报, 2021, 28(2): 62-64. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL202102017.htm
[12]	HOCKSTEIN M A. Continuous-flow left ventricular assist devices: management in the emergency department[J]. J Am Coll Emerg Physicians Open, 2020, 1(4): 362-370.
[13]	张茜, 李永刚, 兰俊, 等. 12例植入左心室辅助装置患者的术后护理[J]. 中华护理杂志, 2021, 56(6): 907-911. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202106021.htm
[14]	GOPINATHANNAIR R, CORNWELL W K, DUKES J W, et al. Device therapy and arrhythmia management in left ventricular assist device recipients: a scientific statement from the American heart association[J]. Circulation, 2019, 139(20): e967-e989.
[15]	王淑萍. 机械通气患者呼吸机相关性肺炎临床分析与护理[J]. 中国微生态学杂志, 2010, 22(5): 469-470, 472. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWS201005026.htm
[16]	夏欣华, 张紫君, 王宇霞, 等. 预防呼吸机相关性肺炎集束化护理方案的构建[J]. 中华护理杂志, 2021, 56(3): 353-359. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202103007.htm
[17]	王丽娟, 夏金根, 杨晓军. 成人经鼻高流量氧气湿化治疗的应用进展[J]. 中华结核和呼吸杂志, 2016, 39(2): 153-157. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF201805011.htm
[18]	JOHN R, PANCH S, HRABE J, et al. Activation of endothelial and coagulation systems in left ventricular assist device recipients[J]. Ann Thorac Surg, 2009, 88(4): 1171-1179.
[19]	RAHAL A, RUCH Y, MEYER N, et al. Left ventricular assist device-associated infections: incidence and risk factors[J]. J Thorac Dis, 2020, 12(5): 2654-2662.
[20]	PAVLOVIC N V, RANDELL T, MADEIRA T, et al. Risk of left ventricular assist device driveline infection: a systematic literature review[J]. Heart Lung, 2019, 48(2): 90-104. http://www.ingentaconnect.com/content/el/01479563/2019/00000048/00000002/art00008
[21]	BOBENKO A, SCHOENRATH F, KNIERIM J H, et al. Exercise training in patients with a left ventricular assist device (Ex-VAD): rationale and design of a multicentre, prospective, Assessor-blinded, randomized, controlled trial[J]. Eur J Heart Fail, 2019, 21(9): 1152-1159.