安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
Journal of Anhui Health Vocational & Technical College
2015年
5期
108-109
,共2页
王丽珊%张杨%周晓娟%徐建%严激
王麗珊%張楊%週曉娟%徐建%嚴激
왕려산%장양%주효연%서건%엄격
经室间隔穿刺%CRT-D%扩张型心肌病%围手术期护理
經室間隔穿刺%CRT-D%擴張型心肌病%圍手術期護理
경실간격천자%CRT-D%확장형심기병%위수술기호리
Transseptal Puncture%CRT-D%Dilated Cardiomyopathy%Perioperative Nursing
总结1例扩张型心肌病、完全性左束支传导阻滞伴有冠状窦开口畸形的患者经室间隔穿刺植入CRT-D的围手术期护理。要点包括:术前减轻心脏负荷,手术风险告知,术后心电监护的变化,并加强切口出血、皮下血肿等并发症的观察。通过经室间隔穿刺植入CRT-D及规范护理。患者的心功能情况得到改善,有效的提高了患者的生存率及生活质量。
總結1例擴張型心肌病、完全性左束支傳導阻滯伴有冠狀竇開口畸形的患者經室間隔穿刺植入CRT-D的圍手術期護理。要點包括:術前減輕心髒負荷,手術風險告知,術後心電鑑護的變化,併加彊切口齣血、皮下血腫等併髮癥的觀察。通過經室間隔穿刺植入CRT-D及規範護理。患者的心功能情況得到改善,有效的提高瞭患者的生存率及生活質量。
총결1례확장형심기병、완전성좌속지전도조체반유관상두개구기형적환자경실간격천자식입CRT-D적위수술기호리。요점포괄:술전감경심장부하,수술풍험고지,술후심전감호적변화,병가강절구출혈、피하혈종등병발증적관찰。통과경실간격천자식입CRT-D급규범호리。환자적심공능정황득도개선,유효적제고료환자적생존솔급생활질량。
1 cases of dilated cardiomyopathy, complete left bundle branch block with coronary sinus CRT-D opening by Ventricular septal puncture in patients with abnormal implantation of perioperative nursing. Highlights include:lightening heart loadon the preoperative, operative risk disclosure, changes in cardiac monitoring and strengthen observation of wound complications such as bleeding, subcutaneous hematoma. Through the implantation of Ventricular septal puncture CRT-D, patients ' heart function improved, effective improved patient survival and quality of life.