1例先天性左心室壁瘤患儿的护理

doi:10.3761/j.issn.0254-1769.2022.24.014

摘要/Abstract

摘要：

总结1例先天性左心室壁瘤患儿的围手术期护理经验。术前护理要点：严格控制血压，预防心脏破裂；密切监测心率和心律，预防心力衰竭；及早处理血栓，预防血栓栓塞。术后护理要点：加强早期镇静、镇痛管理；严格控制出入量，维持左心功能稳定；保持内环境稳定，预防心律失常；加强居家护理指导。经过精心治疗及护理后，患儿顺利出院，出院1个月时，门诊随访提示心功能稳定、生长发育正常。

关键词: 心脏室壁瘤, 围手术期护理, 儿科护理学

Abstract:

To summarize the perioperative nursing experience of a child with congenital left ventricular aneurysm. Key points of preoperative nursing include controlling blood pressure strictly to prevent cardiac rupture，monitoring heart rate and rhythm closely to prevent heart failure，early identifying and treating thromboembolic symptoms. Main points of postoperative nursing include strengthening the management of early sedation and analgesia，strictly controlling the intake and output volume to maintain left ventricular function，maintaining the stability of internal environment to prevent arrhythmia，enhancing home care guidance. After careful treatment and nursing care，the child was discharged smoothly. A month after discharge，the outpatient follow-up showed that the cardiac function of the child was stable while the growth and development was normal.

Key words: Heart Aneurysm, Perioperative Nursing, Pediatric Nursing

唐晓敏, 诸纪华, 施凤双, 张泽伟, 高强, 谢春露. 1例先天性左心室壁瘤患儿的护理[J]. 中华护理杂志, 2022, 57(24): 3030-3033.

TANG Xiaomin, ZHU Jihua, SHI Fengshuang, ZHANG Zewei, GAO Qiang, XIE Chunlu. Nursing care of a newborn with congenital left ventricular aneurysm[J]. Chinese Journal of Nursing, 2022, 57(24): 3030-3033.

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