CAJ | 학술논문

目的：探讨经导管主动脉瓣置入术不同手术路径的护理配合及路径改变时的应对措施。方法回顾性分析阜外心血管病医院完成的8例不同手术路径下经导管主动脉瓣置入术，总结和提炼手术过程中介入护士的围术期护理配合及手术路径改变的应对护理措施。结果8例手术中5例为经股动脉路径，2例为经升主动脉路径，1例转为外科开胸换瓣，手术均顺利完成，术后未发生相关并发症。结论介入护士重点做好围术期的各项护理配合，尤其是手术路径改变时的快速有效应对，是保证不同路径手术顺利完成的有效保障。
목적：탐토경도관주동맥판치입술불동수술로경적호리배합급로경개변시적응대조시。방법회고성분석부외심혈관병의원완성적8례불동수술로경하경도관주동맥판치입술，총결화제련수술과정중개입호사적위술기호리배합급수술로경개변적응대호리조시。결과8례수술중5례위경고동맥로경，2례위경승주동맥로경，1례전위외과개흉환판，수술균순리완성，술후미발생상관병발증。결론개입호사중점주호위술기적각항호리배합，우기시수술로경개변시적쾌속유효응대，시보증불동로경수술순리완성적유효보장。
Objective To explore the nursing cooperation of different operating pathways in transcatheter aortic valve implantation and as well as coping measures for pathway changed .Methods Eight cases of different operating pathways in transcatheter aortic valve implantation were analyzed ,perioperative nursing cooperation for the process of different pathway operations and changed pathway coping measures were refined and summarized . Results Eight cases completed transcatheter aortic valve implantation without complications , 5 cases of femoral artery pathway ,2 cases of ascending aorta pathway ,1 case was converted to surgical thoracotomy .All the operations were successfully completed , there was no complication after surgery .Conclusion Perioperative nursing cooperation is the center work for interventional nurses during transcatheter aortic valve implantation , especially quickly responding to the pathway changed can ensure the operation successfully completed .