CAJ | 학술논문

目的总结13例全机器人不开胸二尖瓣成形术的护理特点,为今后的护理提供依据.方法采用便利抽样前瞻性研究的方法,设计好所要收集资料的项目,从患者入院到出院做全程的护理,入院主要进行相关知识的宣教和心理辅导,术后按体外循环心脏直视手术护理常规进行外,重点做好患者的肺部护理和肢体血液循环的观察,早期进行康复训练.结果 13例患者顺利接受手术.术后1例术后出现脑梗,出院前肢体活动恢复;1例发生右股动脉血栓,术后3 d行右股动脉切开取栓术;其余患者经过康复训练痊愈出院.结论全机器人不开胸二尖瓣成形术是一项新的微创手术,其护理需注重知识的宣教,消除患者的疑虑,做好充分的术前准备工作,确保患者的安全.术后早期注意观察引流有无出血的发生,做好肺部护理,尤其是右肺的护理,尽早让患者下地活动,可促进各系统的恢复.
목적 총결13례전궤기인불개흉이첨판성형술적호리특점,위금후적호리제공의거.방법 채용편리추양전첨성연구적방법,설계호소요수집자료적항목,종환자입원도출원주전정적호리,입원주요진행상관지식적선교화심리보도,술후안체외순배심장직시수술호리상규진행외,중점주호환자적폐부호리화지체혈액순배적관찰,조기진행강복훈련.결과 13례환자순리접수수술.술후1례술후출현뇌경,출원전지체활동회복;1례발생우고동맥혈전,술후3 d행우고동맥절개취전술;기여환자경과강복훈련전유출원.결론 전궤기인불개흉이첨판성형술시일항신적미창수술,기호리수주중지식적선교,소제환자적의필,주호충분적술전준비공작,학보환자적안전.술후조기주의관찰인류유무출혈적발생,주호폐부호리,우기시우폐적호리,진조양환자하지활동,가촉진각계통적회복.
Objective To study the characteristics of perioperative care for patients with Mitral Valve Repair (MVP) received totally robotic surgery without opening chest and provide scientific data for the clinic work. Methods The first 13 cases who received MVP with totally robotic was collected on their individual information and nursing data from their admission to discharge. Results All cases were accomplished successfully without complications. After operation 1 patient occurred Cerbral Infarction and recovery activity of extremity prior to discharge. One patient occurred thrombus of right femoral artery and take the right femoral arteriotomy embolectomy. Conclusions Totally robotic surgery with MVP is a new minimally-invasive procedure. Preoperative education is important to alleviate the patient's misgivings care. In early postoperative course, the amount of drainage should be observed and the pulmonary nursing should be carried out, especially the right lung must be stressed. The early postoperative exercise can reduce the recovery time.