CAJ | 학술논문

目的探讨心房颤动射频消融术患者围手术期的食管保护及护理对策.方法 2007年6-7月收集31例住院接受Carto指导下射频消融术治疗的心房颤动患者,在围手术期给予流食、抑酸剂,改善左房后壁消融策略,针对食管保护及护理的各种措施.结果 31例患者手术成功率100%,无一例出现食管裂孔疝及消化道不适.结论房颤消融围手术期精心的食管保护措施对预防食管裂孔疝至关重要.
목적 탐토심방전동사빈소융술환자위수술기적식관보호급호리대책.방법 2007년6-7월수집31례주원접수Carto지도하사빈소융술치료적심방전동환자,재위수술기급여류식、억산제,개선좌방후벽소융책략,침대식관보호급호리적각충조시.결과 31례환자수술성공솔100%,무일례출현식관렬공산급소화도불괄.결론 방전소융위수술기정심적식관보호조시대예방식관렬공산지관중요.
Objective To investigate the method of esophageal protection and nursing of pa-tients during peri-ablation of atrial fibrillation. Methods 31 patients hospitalized from June to July,2007 underwent radiofrequeney ablation under the mapping of Carto system, who were treated with liq-uid diet, anti-acid drugs and lowering energy ablation in posterior wall of left atrium for the aim of esophageal protection. Results The success rate of ablation was 100% with no occurrence of atrial-esophgeal fistula and uneomfort of digestive tract. Conclusions Careful esophageal protection and nursing plays an important role in prevention of atrial-esophgeal fistula.