CAJ | 학술논문

共24例主动脉瓣重度狭窄的患者，行经导管主动脉瓣植入术均获成功。术中发生并发症4例，1例室性颤动，2例血管并发症，1例腹膜后血肿，3例Ⅲ度房室传导阻滞，经及时处置均手术成功。因该组患者高龄、病情重、手术风险高，需备齐术中所需物品、药品；术中做好手术配合，操作规范细致；密切观察心电图、血压、血氧饱和度的异常改变，以及穿刺点周围出血情况；设1名专门护士，重点做好临时起搏器及除颤仪的管理，一旦发生并发症，及时配合医生处理。认为护士应在术中熟练掌握监护仪、除颤仪、临时起搏器等仪器操作，熟悉手术进程，熟知术者每一操作配合要领及潜在的风险，及时发现并发症、有效配合抢救。
공24례주동맥판중도협착적환자，행경도관주동맥판식입술균획성공。술중발생병발증4례，1례실성전동，2례혈관병발증，1례복막후혈종，3례Ⅲ도방실전도조체，경급시처치균수술성공。인해조환자고령、병정중、수술풍험고，수비제술중소수물품、약품；술중주호수술배합，조작규범세치；밀절관찰심전도、혈압、혈양포화도적이상개변，이급천자점주위출혈정황；설1명전문호사，중점주호림시기박기급제전의적관리，일단발생병발증，급시배합의생처리。인위호사응재술중숙련장악감호의、제전의、림시기박기등의기조작，숙실수술진정，숙지술자매일조작배합요령급잠재적풍험，급시발현병발증、유효배합창구。
This paper introduced the nursing experience of complications in transcatheter aortic valve implantation (TAVI). There were 24 patients undergoing TAVI successfully in the study. During the operation, four kinds of complications occurred including one case of ventricular fibrillation, two of vascular complications and one of third degree atrioventricular block. After timely treatment, all patients underwent the operation smoothly. Preoperative preparation of all the materials and medication needed played a critical role in the operation. During the operation, cooperation and close observation of electrocardiography, blood pressure, blood oxygen saturation for its potential change, bleeding in puncture points were of great significance. There should be one nurse that was particularly responsible for the management of pacemaker and defibrillator. In the whole operation, nurses were supposed to be familiar with the operation of monitors, pacemaker and defibrillator, the process of the operation, key points of cooperation and potential risks. Once complication occurred, effective cooperation played a key role in the success of the operation.