CAJ | 학술논문

目的比较胸腔镜冠状动脉搭桥与正中开胸冠状动脉搭桥的术后护理方法,探讨术后护理的特点和措施.方法分析胸腔镜下冠状动脉搭桥患者57例与常规正中开胸冠状动脉搭桥缺损65例患者术后血流动力学监测、循环与呼吸系统的监护、血管活药物的应用、引流血量及术后疼痛护理等方面情况.结果胸腔镜下冠状动脉搭桥较正中开胸手术患者呼吸系统、循环系统相对稳定,而且术后用药少、拔管早、进食早、活动早、恢复快、但肺部并发症稍多.结论胸腔镜下冠状动脉搭桥较正中开胸护理相对简单,减少了工作量少,提高了护理工作效率,且患者术后创伤小,疼痛轻,恢复快,住IcU时间明显缩短.
목적 비교흉강경관상동맥탑교여정중개흉관상동맥탑교적술후호리방법,탐토술후호리적특점화조시.방법 분석흉강경하관상동맥탑교환자57례여상규정중개흉관상동맥탑교결손65례환자술후혈류동역학감측、순배여호흡계통적감호、혈관활약물적응용、인류혈량급술후동통호리등방면정황.결과 흉강경하관상동맥탑교교정중개흉수술환자호흡계통、순배계통상대은정,이차술후용약소、발관조、진식조、활동조、회복쾌、단폐부병발증초다.결론 흉강경하관상동맥탑교교정중개흉호리상대간단,감소료공작량소,제고료호리공작효솔,차환자술후창상소,동통경,회복쾌,주IcU시간명현축단.
Objective To compare nuring of thoracoscopic and median sternal incision cononary artery bypass graft (CABG) .To investigate the peculiarity of nuring after thoracoscopic CABG.Methods From April 2005 to November 2008 , 57 cases of thoracoscopic CABG and 65 cases of median sternal incision CABG were performed in our hospital.The nuring after both type of operations, including monitoring of hemodynamics, ward of circulatory and respiratory system, using of vasoactive drugs, drainage blood volume and pain were analyzed and campared.Results The patients underwent thoracoscopic CABG had more stable circulatory and respiratory system, less using of vasoactive drugs, earlier time of extubation, eating, movement and recovery, a little more pulmonary complications than the patients underwent median sternal incision CABG.Conclusions The nuring of thoracoscopic CABG is easier, less amount of work and more efficient than those of median sternal incision CABG.The patients of thoracoscopic CABG have less trauma and pain, recover more quickly and cound leave ICU earilier.