12例植入左心室辅助装置患者的术后护理

doi:10.3761/j.issn.0254-1769.2021.06.018

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (6): 907-911.DOI: 10.3761/j.issn.0254-1769.2021.06.018

12例植入左心室辅助装置患者的术后护理

张茜(),李永刚,兰俊,李庆印,黄雨佳,石丽()

100037 北京市中国医学科学院阜外医院成人外科恢复室一区（张茜,李永刚,兰俊,黄雨佳,石丽）,护理部（李庆印）

收稿日期:2020-08-10 出版日期:2021-06-15 发布日期:2021-06-11
通讯作者: 石丽
作者简介:张茜：女,大专,主管护师,E-mail：495456400@qq.com

Post-operative care of 12 patients implanted left ventricular assist system

ZHANG Qian(),LI Yonggang,LAN Jun,LI Qingyin,HUANG Yujia,SHI Li()

Received:2020-08-10 Online:2021-06-15 Published:2021-06-11
Contact: Li SHI

摘要/Abstract

摘要：

总结12例植入左心室辅助装置EVAHEART I患者的术后护理经验。护理要点包括血泵流速及左右心功能的监测,脏器及组织灌注监测;出凝血功能障碍、感染、脑卒中和心律失常等并发症的监测;术后早期康复训练和出院随访护理。经过精心的治疗和护理,12例患者均携带左心室辅助装置EVAHEART I顺利出院。

关键词: 心室功能,左, 心室辅助装置, 围手术期护理

Abstract:

This article summarized key nursing points of 12 patients implanted left ventricular assist system EVAHEART I. Key points of nursing care included the monitoring of blood pump flow rate and cardiac function,the monitoring of organ and tissue perfusion,surveillance of complications such as coagulopathy,infection,stroke and arrhythmia,early rehabilitation training and discharge follow-up care. After careful treatment and care,all 12 patients were discharged from the hospital with the ventricular assist system EVAHEART I.

Key words: Ventricular Function,Left, Ventricular Assist Device, Perioperative Nursing

张茜,李永刚,兰俊,李庆印,黄雨佳,石丽. 12例植入左心室辅助装置患者的术后护理[J]. 中华护理杂志, 2021, 56(6): 907-911.

ZHANG Qian,LI Yonggang,LAN Jun,LI Qingyin,HUANG Yujia,SHI Li. Post-operative care of 12 patients implanted left ventricular assist system[J]. Chinese Journal of Nursing, 2021, 56(6): 907-911.

图/表 1

参考文献 15

[1]	管翔, 陈志远, 李庆国. 植入式心室辅助装置的研究进展[J]. 国际心血管病杂志, 2020,47(2):76-80.
	Guan X, Chen ZY, Li QG. Research progress on implantable ventricular assist device[J]. Int J Cardiovasc Dis, 2020,47(2):76-80.
[2]	Neragi-Miandoab S. A ventricular assist device as a bridge to recovery,decision making,or transplantation in patients with advanced cardiac failure[J]. Surg Today, 2012,42(10):917-926. DOI URL
[3]	Tsiouris A, Brewer RJ, Borgi J, et al. Continuous-flow left ventricular assist device implantation as a bridge to transplantation or destination therapy:racial disparities in outcomes[J]. J Heart Lung Transplant, 2013,32(3):299-304. DOI URL
[4]	Kirklin JK, Cantor R, Mohacsi P, et al. First annual IMACS report:a global international society for heart and lung transplantation registry for mechanical circulatory support[J]. J Heart Lung Transplant, 2016,35(4):407-412. DOI URL
[5]	Kirklin JK, Naftel DC, Pagani FD, et al. Seventh INTERMACS annual report:15,000 patients and counting[J]. J Heart Lung Transplant, 2015,34(12):1495-1504. DOI URL
[6]	deVore AD, Patel PA, Patel CB. Medical management of patients with a left ventricular assist device for the non-left ventricular assist device specialist[J]. JACC:Heart Fail, 2017,5(9):621-631. DOI URL
[7]	Gedela M, Gohar A, Jonsson O. A brief review of left ventricular assist devices and their management[J]. SD Med, 2019,72(1):19-26.
[8]	Desai SR, Hwang NC. Advances in left ventricular assist devices and mechanical circulatory support[J]. J Cardiothorac Vasc Anesth, 2018,32(3):1193-1213. DOI URL
[9]	Dang G, Epperla N, Muppidi V, et al. Medical management of pump-related thrombosis in patients with continuous-flow left ventricular assist devices[J]. Asaio J, 2017,63(4):373-385. DOI URL
[10]	Hockstein MA. Continuous-flow left ventricular assist devices:management in the emergency department[J]. J Am Coll Emerg Physicians Open, 2020,1(4):362-370.
[11]	雷白, 胡盛寿. 左心室辅助装置抗栓治疗研究进展[J]. 中国循环杂志, 2020,35(2):200-204.
	Lei B, Hu SS. Research progress of antithrombotic therapy for left ventricular assist device[J]. Chin Circ J, 2020,35(2):200-204.
[12]	Rahal A, Ruch Y, Meyer N, et al. Left ventricular assist device-associated infections:incidence and risk factors[J]. J Thorac Dis, 2020,12(5):2654-2662. DOI URL
[13]	Chmielinski A, Koons B. Nursing care for the patient with a left ventricular assist device[J]. Nursing, 2017,47(5):34-40. DOI PMID
[14]	Gopinathannair R, Cornwell WK, Dukes JW, et al. Device the-rapy and arrhythmia management in left ventricular assist device recipients:a scientific statement from the American heart association[J]. Circulation, 2019,139(20):e967-e989. DOI
[15]	彭洁婧, 曾珠, 邓永鸿, 等. 5例左心室辅助装置植入患者的术后护理[J]. 中华护理杂志, 2020,55(9):1346-1348.
	Peng JJ, Zeng Z, Deng YH, et al. Postoperative nursing care for patients with left ventricular assist device implantation:a five-case study[J]. Chin J Nurs, 2020,55(9):1346-1348.

12例植入左心室辅助装置患者的术后护理

Post-operative care of 12 patients implanted left ventricular assist system

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