CAJ | 학술논문

目的:总结心脏冠状动脉搭桥术(CABG)围术期临床护理经验.方法:回顾分析2001年9月～2008年10月我科538例因心脏冠状动脉阻塞性病变行CABG的围术期护理情况.结果:本组术前均积极进行健康教育,加强心理及非心脏并发症的护理.术后给予必要的活动指导,做好循环、呼吸及肾功能的监护,注意预防低心排综合征、心律失常、呼吸功能不全及急性心肌梗死等并发症.全组除13例因术前休克时间长、术后出现多器官功能障碍综合征死亡外,其余均获良好疗效.结论:加强CABG围术期的护理是保证手术效果、预防术后并发症的重要基础.
목적:총결심장관상동맥탑교술(CABG)위술기림상호리경험.방법:회고분석2001년9월～2008년10월아과538례인심장관상동맥조새성병변행CABG적위술기호리정황.결과:본조술전균적겁진행건강교육,가강심리급비심장병발증적호리.술후급여필요적활동지도,주호순배、호흡급신공능적감호,주의예방저심배종합정、심률실상、호흡공능불전급급성심기경사등병발증.전조제13례인술전휴극시간장、술후출현다기관공능장애종합정사망외,기여균획량호료효.결론:가강CABG위술기적호리시보증수술효과、예방술후병발증적중요기출.
Objective:To summarize experience of perioperative clinical nursing in coronary artery bypass grafting.Methods:Retrospective analysis of the clinical nursing data of 538 patients who suffered from coronary heart disease underwent surgical procedure .Results:Preoperative health education and mental preparation were positively given,furthermore reinforced nursing of cardiac comorbidities.Postoperative instructions of necessary acting were performed.In addition to routine nursing,circulation,breathing and renal function monitoring had also been carried out.Preventing complications of low cardiac output syndrome,arrhythmia,breathing dysfunction, and acute myocardial infarction was extremely important.13 patients who performed emergency coronary artery bypass grafting died of multiply organ dysfunction syndrome.Other patients achieved clinical health.Conclusion:It is important to strengthen nursing measures to ensure goods results and prevent postoperative complications.