CAJ | 학술논문

目的：探讨心房颤动（以下简称房颤）患者在射频消融术并发症发生原因及总结护理方法。方法对234例行射频消融术中17例发生并发症的房颤患者进行原因分析并做好护理工作。结果17例行射频消融术患者并发症，包括心包积液2例，急性心脏压塞4例，急性左心力衰竭3例，出血3例，气胸1例及肺静脉狭窄4例。经处理全部患者康复出院，住院时间11～23 d，平均（15．47±3．84）d。结论心房颤动行射频消融术的并发症发生突然、病情危重，熟悉并发症的发生表现，及时采取正确有效的护理措施，是患者获得良好预后的关键。
목적：탐토심방전동（이하간칭방전）환자재사빈소융술병발증발생원인급총결호리방법。방법대234례행사빈소융술중17례발생병발증적방전환자진행원인분석병주호호리공작。결과17례행사빈소융술환자병발증，포괄심포적액2례，급성심장압새4례，급성좌심력쇠갈3례，출혈3례，기흉1례급폐정맥협착4례。경처리전부환자강복출원，주원시간11～23 d，평균（15．47±3．84）d。결론심방전동행사빈소융술적병발증발생돌연、병정위중，숙실병발증적발생표현，급시채취정학유효적호리조시，시환자획득량호예후적관건。
Objective To explore the causes of complications from radiofrequency catheter ablation in the treatment of atrial fibrillation and summarize the nursing strategy. Methods Two hundred and thirty-four patients with atrial fibrillation were treated with radiofrequency catheter ablation. The clinical data of 17 of them contracting complications were retrospectively reviewed to summarize the nursing strategies. Results Among the 17 patients with complications, 2 patients contracted pericardial effusion, 4 acute cardiac tamponade, 3 acute left heart failure, 3 bleeding, 1 pneumothorax and 4 pulmonary vein stenosis. All of them got recovered and discharged after rescue and intensive care. Conclusions The complications of atrial fibrillation after radiofrequency ablation are serious and sudden. The nursing strategies including mastery of the complications′symptoms and correct nursing measures are critical for a better prognosis.