阐述心脏外科术后早期并发症护理
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论文导读:4721(2014)09(b)-0158-04NursingofearlycomplicationsaftercardiacsurgeryKEBi-qin1LINBi-ying2FANGXiu-xiang11.DepartmentofCardiothoracicSurgery,TeachingHospitaloftheFirstHospitalofPutianCityinFujianMedicalUniversity,Putian351100,China;
[关键词] 心脏外科手术;并发症;护理
[] B [文章编号] 1674-4721(2014)09(b)-0158-04
Nursing of early complications after cardiac surgery
KE Bi-qin1 LIN Bi-ying2 FANG Xiu-xiang1
1.Department of Cardiothoracic Surgery,Teaching Hospital of the First Hospital of Putian City in Fujian Medical University,Putian 351100,China;2.MRI Room of Department of Radiology,Teaching Hospital of the First Hospital of Putian City in Fujian Medical University,Putian 351100,China
[Abstract] Objective To summarize the nursing experience of early complications after cardiac surgery. Methods Clinical data of 9 patients with early complications after cardiac surgery treated in our hospital from April 2009 to April 2014 was retrospectively analyzed. Results 9 patients occurred with complications after cardiac surgery,1 case (11.1%) was dead due to acute respiratory distress syndrome,multiple organ failure, and three triple acid-base imbalance.The other 8 case were s cured. Conclusion Close monitoring of vital signs,improving heart function,maintaining balance of water electrolyte and acid-base,timely preventing and take effective nursing measures for complications (postoperative low cardiac output syndrome,multiple organ failure and malignant arrhythmia and other complications) can effectively improve the cure rate of complications and survival rate of patients,reduce the mortality rate.
[Key words] Cardiac surgery;Complication;Nursing
近年来,随着心脏外科的发展及体外循环技术的进步,心脏外科的手术安全性明显提高,并发症及死亡率显著降低,然而伴随体外循环心脏手术的风险依然存在。据统计,目前心脏瓣膜术后早期住院死亡率为6.1 %,呼吸衰竭发生率为12.0%,呼吸衰竭组住院死亡率为17.6%[1]。老年患者术后并发症发生率较高,为34.4%,发生并发症例次42例次,早期手术死亡4例,手术死亡率为6.3%[2]。本研究对本院2009年4月~2014年4月收治的心脏外科手术患者的早期并发症9例进行回顾性分析,现将护理体会报告如下。
1 资料与策略
2.MRIRoomofDepartmentofRad
[摘要] 目的 总结心脏外科术后早期并发症患者的护理经验。 策略 回顾性分析本院2009年4月~2014年4月收治的9例心脏外科术后早期并发症患者的临床资料。 结果 9例心脏外科术后患者发生早期并发症,1例(11.1%)因急性呼吸窘迫综合征、多脏器功能衰竭及三重酸碱失衡死亡,其余8例的并发症均治愈。 结论 严密监测生命体征,改善心功能,维持水电解质、酸碱平衡,对术后低心排综合征、多器官功能衰竭及恶性心律失常等并发症及时防范并采取有效的治疗护理措施,可有效提高并发症治愈率及患者存活率、降低死亡率。[关键词] 心脏外科手术;并发症;护理
[] B [文章编号] 1674-4721(2014)09(b)-0158-04
Nursing of early complications after cardiac surgery
KE Bi-qin1 LIN Bi-ying2 FANG Xiu-xiang1
1.Department of Cardiothoracic Surgery,Teaching Hospital of the First Hospital of Putian City in Fujian Medical University,Putian 351100,China;2.MRI Room of Department of Radiology,Teaching Hospital of the First Hospital of Putian City in Fujian Medical University,Putian 351100,China
[Abstract] Objective To summarize the nursing experience of early complications after cardiac surgery. Methods Clinical data of 9 patients with early complications after cardiac surgery treated in our hospital from April 2009 to April 2014 was retrospectively analyzed. Results 9 patients occurred with complications after cardiac surgery,1 case (11.1%) was dead due to acute respiratory distress syndrome,multiple organ failure, and three triple acid-base imbalance.The other 8 case were s cured. Conclusion Close monitoring of vital signs,improving heart function,maintaining balance of water electrolyte and acid-base,timely preventing and take effective nursing measures for complications (postoperative low cardiac output syndrome,multiple organ failure and malignant arrhythmia and other complications) can effectively improve the cure rate of complications and survival rate of patients,reduce the mortality rate.
[Key words] Cardiac surgery;Complication;Nursing
近年来,随着心脏外科的发展及体外循环技术的进步,心脏外科的手术安全性明显提高,并发症及死亡率显著降低,然而伴随体外循环心脏手术的风险依然存在。据统计,目前心脏瓣膜术后早期住院死亡率为6.1 %,呼吸衰竭发生率为12.0%,呼吸衰竭组住院死亡率为17.6%[1]。老年患者术后并发症发生率较高,为34.4%,发生并发症例次42例次,早期手术死亡4例,手术死亡率为6.3%[2]。本研究对本院2009年4月~2014年4月收治的心脏外科手术患者的早期并发症9例进行回顾性分析,现将护理体会报告如下。
1 资料与策略