CAJ | 학술논문

目的探讨心房颤动(房颤)患者环肺静脉左房线性消融术后的观察和护理要点.方法对3l例房颤患者采用CARTO电解削标测系统及双Lasso表测电极技术,分别进行环左、右侧肺静脉线性消融;消融终点为肺静脉电位消失,左房-肺静脉双向传导阻滞,并对观察护理要点进行总结.结果患者初次消融术后平均随访(245±65)d,21例无复发,8例复发房性心律失常包括5例典型房扑、2例其他房性心动过速、1例阵发性房颤、2例左上肺静脉电位未完全隔离者仍持续房颤.除1例持续性房颤外,9例接受了再次消融术,8例射频消融成功并随访(192±92)d无复发.2次射频消融术后总成功率为92.8%.结论护理人员应根据患者在行环肺静脉左房线性消融术术前、术中、术后,对出现的症状进行有效的护理措施,以解除患者的痛苦.
목적 탐토심방전동(방전)환자배폐정맥좌방선성소융술후적관찰화호리요점.방법 대3l례방전환자채용CARTO전해삭표측계통급쌍Lasso표측전겁기술,분별진행배좌、우측폐정맥선성소융;소융종점위폐정맥전위소실,좌방-폐정맥쌍향전도조체,병대관찰호리요점진행총결.결과 환자초차소융술후평균수방(245±65)d,21례무복발,8례복발방성심률실상포괄5례전형방복、2례기타방성심동과속、1례진발성방전、2례좌상폐정맥전위미완전격리자잉지속방전.제1례지속성방전외,9례접수료재차소융술,8례사빈소융성공병수방(192±92)d무복발.2차사빈소융술후총성공솔위92.8%.결론 호리인원응근거환자재행배폐정맥좌방선성소융술술전、술중、술후,대출현적증상진행유효적호리조시,이해제환자적통고.
Objective To investigate the observation and nursing for patients with atria] fibrillation (AF)after left atrial linear ablation surrounding ipeilateral pulmonary veins (PVs). Methods Thirty patients with persistent AF underwent left atrial linear ablation surrounding ipsilateral PVs guided by CARTO electroanatomic mapping system and double Lasso catheters technique. The end point of ablation was defined as absence of all PV spikes after isolation and bidirectional conduction block between left atrial and PVs. Results After a median of (245±65)days of follow-up, twenty-one patients were free of AF. Eight patients subjected recurrent atrial tachyarrhymias, including 5 typical AFL, 2 atrial taehycardia and 1 paroxysmal AF. Two patients with persistent AF remaining PV spikes in left superior PV failed to be translated to sinus rhythm. Nine patients underwent repeated ablation and 8 of them were free of atrial taehyarrhythmia after (192±92) days follow-up. Total success rate after two procedures was 92.8%. Conclusions Nurses should perform effective care according to the symptom of patients before, during and after ablation procedure and relieve the patients from pain.