医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
7期
60-61
,共2页
张锦涛%郑雅玲%陈倩%万霞
張錦濤%鄭雅玲%陳倩%萬霞
장금도%정아령%진천%만하
ICD%CRT-D%扩张型心肌病%心衰和恶性心律%心脏性猝死
ICD%CRT-D%擴張型心肌病%心衰和噁性心律%心髒性猝死
ICD%CRT-D%확장형심기병%심쇠화악성심률%심장성졸사
ICD%CRT-D%Expansionary cardiomyopathy%Heart failure and malignant arrhythmia%Sudden cardiac death
目的:扩张型心肌病死亡可发生于疾病的任何阶段。病死率较高,慢性心衰和恶性心律失常是导致患者发生心脏性猝死的主要原因。ICD,CRT-D不仅能有效地改善心衰患者的症状、运动耐量、生活质量,还能有效地降低患者的住院率和心力衰竭死亡率,。方法;对两例植入起搏除颤器患者与评估、计划、实施,给予有效的护理。结果结论植入前做好沟通,做好手术的评估,保证病员术中情绪稳定,做好植入后的护理,防止起搏器囊袋感染,保证电极的稳固连接,起搏器功能正常。
目的:擴張型心肌病死亡可髮生于疾病的任何階段。病死率較高,慢性心衰和噁性心律失常是導緻患者髮生心髒性猝死的主要原因。ICD,CRT-D不僅能有效地改善心衰患者的癥狀、運動耐量、生活質量,還能有效地降低患者的住院率和心力衰竭死亡率,。方法;對兩例植入起搏除顫器患者與評估、計劃、實施,給予有效的護理。結果結論植入前做好溝通,做好手術的評估,保證病員術中情緒穩定,做好植入後的護理,防止起搏器囊袋感染,保證電極的穩固連接,起搏器功能正常。
목적:확장형심기병사망가발생우질병적임하계단。병사솔교고,만성심쇠화악성심률실상시도치환자발생심장성졸사적주요원인。ICD,CRT-D불부능유효지개선심쇠환자적증상、운동내량、생활질량,환능유효지강저환자적주원솔화심력쇠갈사망솔,。방법;대량례식입기박제전기환자여평고、계화、실시,급여유효적호리。결과결론식입전주호구통,주호수술적평고,보증병원술중정서은정,주호식입후적호리,방지기박기낭대감염,보증전겁적은고련접,기박기공능정상。
Death could be resulted at any stage of an expansionary cardiomyopathy.It has high case fatality rate.Chronic heart failure and malignant arrhythmia are the main reasons to cause sudden cardiac death.ICD,CRT-D can not only reduce the symptoms in patients with heart failure ef ectively,physical exercise tolerance and life quality,but also reduce the rate of hos-pitalization and mortality in patients with heart failure.Before the implantation of ICD,CRT-D,it is nessisary to make good communication with pacients,to do surgery assessment and to en-sure the operation of emotional stability.In the same time,make a bet er nursing after the implantation,prevent infection from the pacemaker pocket,ensure the stable connection between the electrodes and the normal function of pacemaker.