CAJ | 학술논문

目的：总结25例行“缘对缘”成形术治疗二尖瓣关闭不全患者的术后护理经验。方法术后维持血流动力学稳定，防止发生低心排出量综合征，及时发现并纠正心律失常，预防心包填塞，维持有效的呼吸功能，保护肾功能，预防急性肾衰，防栓塞，有效抗凝治疗等。结果术后1例患者出现低心排综合征，6例出现心律失常，经及时治疗后好转，术后8 d 均顺利出院。结论行“缘对缘”成形术后患者经有效的护理措施的落实，及时处理各种术后并发症，可提高手术疗效，促进患者康复。
목적：총결25례행“연대연”성형술치료이첨판관폐불전환자적술후호리경험。방법술후유지혈류동역학은정，방지발생저심배출량종합정，급시발현병규정심률실상，예방심포전새，유지유효적호흡공능，보호신공능，예방급성신쇠，방전새，유효항응치료등。결과술후1례환자출현저심배종합정，6례출현심률실상，경급시치료후호전，술후8 d 균순리출원。결론행“연대연”성형술후환자경유효적호리조시적락실，급시처리각충술후병발증，가제고수술료효，촉진환자강복。
Objective To summarize the postoperative nursing experience on 25 patients with edge-to-edge repair in the treatment of mitral valve insufficiency.Methods The postopera-tive nursing strategies mainly included maintaining stable hemodynamics and effective respiration, preventing low cardiac output syndrome and cardiac temponade,correcting arrhythmia timely,pro-tecting renal function,and anticoagulation therapy.Results One patient suffered from low cardiac output syndrome,and 6 patient s experienced arrhythmia.All of them got recovered after treat-ment.Every patient was discharged on the 8th postoperative day.Conclusion With effective nursing strategies for patients after edge-to-edge repair in the treatment of mitral valve insufficien-cy,various complications could be recognized and treated in time,the perioperative efficacy are im-proved and recover of patients could be promoted.