CAJ | 학술논문

目的探讨使用“达芬奇”机器人系统完成不开胸、非体外循环下心脏不停跳冠状动脉旁路移植术的护理要点.方法选取2007年1月至2010年12月使用“达芬奇S”(da Vinic S)全机器人系统,完成不开胸、心脏不停跳下冠状动脉旁路移植术患者60例.所有患者术前均经冠状动脉造影证实有严重的前降支病变,合并有回旋支或右冠状动脉的局限性狭窄8例.对患者实施了全程的教育和护理.结果 60例患者术后心绞痛症状缓解,无手术相关并发症发生.术后检查桥血管通畅率为100％,患者全部顺利康复出院.结论机器人冠状动脉旁路移植术是一种全新的术式,围手术期健康教育对患者很重要,术后早期注意观察引流有无出血的发生,做好肺部护理,尽早让患者下床活动,可促进各系统的恢复.
목적 탐토사용“체분기”궤기인계통완성불개흉、비체외순배하심장불정도관상동맥방로이식술적호리요점.방법 선취2007년1월지2010년12월사용“체분기S”(da Vinic S)전궤기인계통,완성불개흉、심장불정도하관상동맥방로이식술환자60례.소유환자술전균경관상동맥조영증실유엄중적전강지병변,합병유회선지혹우관상동맥적국한성협착8례.대환자실시료전정적교육화호리.결과 60례환자술후심교통증상완해,무수술상관병발증발생.술후검사교혈관통창솔위100％,환자전부순리강복출원.결론 궤기인관상동맥방로이식술시일충전신적술식,위수술기건강교육대환자흔중요,술후조기주의관찰인류유무출혈적발생,주호폐부호리,진조양환자하상활동,가촉진각계통적회복.
Objective To study the nursing of totally endoscopic coronary artery bypass grafting (TECAB)using da Vinci robot.Methods 60 patients who accepted TECAB from January 2007 to December 2010 were selected.All patients underwent coronary arteriography,which showed severe stenosis in left anterior descending artery(LAD).8 of them complicated with right coronary artery stenosis or left circumflex coronary (LCX)stenosis.All patients were given education and nursing care from admission to discharge.Results After operation,angina pectoris alleviated in all cases,no surgery-related complications occurred.The bridge vessel was all cleared.All patients were discharged after rehabilitation.Conclusions Totally robotic TECAB is a new minimally-invasive surgery.Perioperative education is important.In early postoperative course,nurses should pay attention to bleeding condition of drainage and pulmonary nursing.Early postoperative exercise is a must,which can promote the recovery of all systems.