中华护理杂志 ›› 2021, Vol. 56 ›› Issue (4): 589-592.DOI: 10.3761/j.issn.0254-1769.2021.04.019

• 临床实践 • 上一篇    下一篇

1例超声引导下经皮心肌内室间隔射频消融术患者的护理

毛越(),杨丹燕,冯佳,朱蓓蓓   

  1. 310009 杭州市 浙江大学医学院附属第二医院心血管内科
  • 收稿日期:2020-08-04 出版日期:2021-04-15 发布日期:2021-04-14
  • 作者简介:毛越:男,本科(硕士在读),主管护师,护士长,E-mail: 2608137@zju.edu.cn

Perioperative nursing of a patient with percutaneous intramyocardial septal radiofrequency ablation

MAO Yue(),YANG Danyan,FENG Jia,ZHU Beibei   

  • Received:2020-08-04 Online:2021-04-15 Published:2021-04-14

摘要:

总结1例肥厚性梗阻型心肌病行化学消融术后患者再次行经皮心肌内室间隔射频消融术的围手术期护理。护理内容包括:术前做好心理护理及相关术前准备,制订应急预案;术后做好容量管理,监测血流动力学、尽早开展早期心脏康复,积极预防并发症的发生,重视出院指导。该患者经过精心治疗和护理后,第8天好转出院。

关键词: 肥厚性梗阻型心肌病, 经皮心肌内室间隔射频消融术, 围手术期护理, 心脏康复

Abstract:

To summarize the perioperative nursing of a patient with hypertrophic obstructive cardiomyopathy who underwent chemical ablation and radiofrequency ablation with Liwen operation. Nursing points include preoperative psychological nursing care,preoperative preparation,and emergency plan. Postoperative attention should be paid to volume management,hemodynamic monitoring,early implementation of stage I cardiac rehabilitation,active prevention of the occurrence of complications,and discharge guidance. After careful treatment and nursing care,the patient was discharged from the hospital on the 8th day.

Key words: Hypertrophic Obstructive Cardiomyopathy, Percutaneous Intramyocardial Septal Radiofrequency Ablation, Perioperative Nursing, Cardiac Rehabilitation