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

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (24): 3030-3033.DOI: 10.3761/j.issn.0254-1769.2022.24.014

1例先天性左心室壁瘤患儿的护理

唐晓敏(), 诸纪华(), 施凤双, 张泽伟, 高强, 谢春露

310052 杭州市浙江大学医学院附属儿童医院心脏外科（唐晓敏，施凤双，张泽伟，高强，谢春露），护理部（诸纪华）

收稿日期:2022-04-20 出版日期:2022-12-20 发布日期:2022-12-23
通讯作者: 诸纪华，E-mail：jihuazhu@zju.edu.cn
作者简介:唐晓敏：女，本科（硕士在读），主管护师，护士长，E-mail：xiaomin-tang@zju.edu.cn

Nursing care of a newborn with congenital left ventricular aneurysm

TANG Xiaomin(), ZHU Jihua(), SHI Fengshuang, ZHANG Zewei, GAO Qiang, XIE Chunlu

Received:2022-04-20 Online:2022-12-20 Published:2022-12-23

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.

参考文献 15

[1]	Ohlow MA, von Korn H, Lauer B. Characteristics and outcome of congenital left ventricular aneurysm and diverticulum:analysis of 809 cases published since 1816[J]. Int J Cardiol, 2015, 185:34-45. DOI URL
[2]	赵煜雯, 张艳敏, 武海滨, 等. 罕见的先天性室壁瘤临床追踪3年[J]. 中国妇幼健康研究, 2020, 31(8):1085-1088.
	Zhao YW, Zhang YM, Wu HB, et al. One case of congenital left ventricular aneurysm followed up for 3 years[J]. Chin J Wo-man Child Health Res, 2020, 31(8):1085-1088.
[3]	杨稳, 董艳, 陈铳铳, 等. 16例先天性左心室室壁瘤或憩室患者的临床特征及长期随访结果[J]. 中国心血管病研究, 2022, 20(2):143-147.
	Yang W, Dong Y, Chen CC, et al. Clinical characteristics and long-term follow-up of 16 patients with congenital left ventricular aneurysms or diverticula[J]. Chin J Cardiovasc Res, 2022, 20(2):143-147.
[4]	Ohlow MA. Congenital left ventricular aneurysms and diverticula:an entity in search of an identity[J]. J Geriatr Cardiol, 2017, 14(12):750-762.
[5]	Ruzza A, Czer LSC, Arabia F, et al. Left ventricular reconstruction for postinfarction left ventricular aneurysm:review of surgical techniques[J]. Tex Heart Inst J, 2017, 44(5):326-335.
[6]	刘洋, 罗猛, 杨添添, 等. 室壁瘤患者的临床特征及并发疾病的诊治进展[J]. 世界最新医学信息文摘, 2020, 20(85):54-56,62.
	Liu Y, Luo M, Yang TT, et al. Clinical characteristics of patients with ventricular aneurysm,diagnosis and treatment of complicated diseases[J]. Wor Lat Med Infor, 2020, 20(85):54-56,62.
[7]	Amado J, Marques N, Candeias R, et al. Congenital left ventricular apical aneurysm presenting as ventricular tachycardia[J]. Rev Port Cardiol, 2016, 35(10):545-545.
[8]	赵小姗, 褚茂平. 先天性左心室室壁瘤的诊断与治疗现状[J]. 中华心力衰竭和心肌病杂志, 2021, 5(4):256-259.
	Zhao XS, Chu MP. Diagnosis and treatment of congenital left ventricular aneurysm[J]. Chin J Heart Fail & Cardiomyopathy, 2021, 5(4):256-259.
[9]	李晶, 张志群, 芦惠. 新生儿四肢静脉血栓栓塞3例报道并文献复习[J]. 浙江实用医学, 2020, 25(3):215-218.
	Li J, Zhang ZQ, Lu H. Neonatal venous thromboembolism of limbs:a report of 3 cases and literature review[J]. Zhejiang Pract Med, 2020, 25(3):215-218.
[10]	王丹虹. 新生儿肢体动脉血栓诊疗进展[J]. 临床儿科杂志, 2018, 36(4):311-315.
	Wang DH. Progress in diagnosis and treatment of arterial thro-mbosis of extremities in newborn[J]. J Clin Pediatr, 2018, 36(4):311-315.
[11]	朱红梅, 诸纪华, 郑智慧, 等. 加速康复外科理念在围手术期患儿中的应用进展[J]. 中华护理杂志, 2021, 56(4):628-634. DOI
	Zhu HM, Zhu JH, Zheng ZH, et al. Progress in the application of the enhanced recovery after surgery of pediatric surgery[J]. Chin J Nurs, 2021, 56(4):628-634. DOI
[12]	诸纪华, 金陈娣, 唐晓敏, 等. 完全型大动脉转位术后低心排血量综合征患儿的护理[J]. 中华急危重症护理杂志, 2021, 2(3):283-285.
	Zhu JH, Jin CD, Tang XM, et al. Nursing care of children with low cardiac output syndrome after complete transposition of great arteries[J]. Chin J Emerg Crit Care Nurs, 2021, 2(3):283-285.
[13]	赵旭, 王伟, 赵小静, 等. 慢性心力衰竭患者出入量管理的最佳证据总结[J]. 中华护理杂志, 2020, 55(3):456-461. DOI
	Zhao X, Wang W, Zhao XJ, et al. Best evidence summary for management of output and input in chronic heart failure patients[J]. Chin J Nurs, 2020, 55(3):456-461. DOI
[14]	张惠丽, 李守军, 闫军, 等. 新生儿复杂先天性心脏病15年治疗分析[J]. 中华新生儿科杂志, 2019, 34(6):401-407.
	Zhang HL, Li SJ, Yan J, et al. Surgical outcomes of neonates with critical and complex congenital heart diseases in a single center:a 15-year experience[J]. Chin J Neonatol, 2019, 34(6):401-407.
[15]	Arter S, Miller E, Bakas T, et al. Psychometric testing of the developmental care scale for neonates with congenital heart disease[J]. Cardiol Young, 2019, 29(6):749-755. DOI PMID

1例先天性左心室壁瘤患儿的护理

Nursing care of a newborn with congenital left ventricular aneurysm

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 15

相关文章 15

编辑推荐

Metrics

[1]	毛云涛, 陈丽莉, 陈笑笑, 王莺. 1例机器人辅助切除巨大肾细胞癌伴Ⅲ级癌栓患者的护理[J]. 中华护理杂志, 2024, 59(8): 930-933.
[2]	王龙君, 王丹, 徐海莉, 金歌, 方艳艳, 曾庆虎. 积木拼插游戏在学龄期PICC置管患儿上肢功能锻炼中的应用研究[J]. 中华护理杂志, 2024, 59(8): 947-952.
[3]	韦双双, 游雪梅, 杨莉洁, 李繁荣, 唐如冰. 临终患儿父母哀伤辅导的证据总结[J]. 中华护理杂志, 2024, 59(5): 540-546.
[4]	冯洁惠, 朱含, 王阳秭, 高春华, 陈霞, 俞超, 潘英, 尤奥林, 王华芬. 心脏移植围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2024, 59(4): 425-431.
[5]	范晓睿, 顾莺, 胡静, 戚少丹, 贺琳晰, 张雯澜, 王林娟, 沈伟杰, 杨玉霞. 24所医院儿科ICU护士对患儿睡眠管理的认知及实践行为调查[J]. 中华护理杂志, 2024, 59(4): 447-454.
[6]	孙潇潇, 陈朔晖, 滕燕萍, 王华, 刘丹. NICU早产儿的父亲出院准备度现状及影响因素分析[J]. 中华护理杂志, 2024, 59(4): 455-460.
[7]	卢露, 卢芳燕, 吉莉, 陶玉侠, 姚彩萍. 6例小肠移植术后患儿肠造口的护理[J]. 中华护理杂志, 2024, 59(4): 461-464.
[8]	王欢, 王晶晶, 窦文艳, 吴旭红. 1例细菌性角膜溃疡新生儿行角膜移植术的围手术期护理[J]. 中华护理杂志, 2024, 59(4): 465-468.
[9]	于万慧, 崔朝妹, 迟嘉婧, 靳子恒, 苟晓瑜, 李梦洁, 卢楠, 杨丽娟. 先天性心脏病青少年向成人过渡治疗及护理体验的Meta整合[J]. 中华护理杂志, 2024, 59(2): 219-227.
[10]	王康, 王俏, 李静. 虚拟现实技术在弱视患儿视觉训练中应用的范围综述[J]. 中华护理杂志, 2024, 59(16): 1948-1956.
[11]	陈娅娟, 周蕊, 孙丹, 刘新文. 住院患儿静脉血栓栓塞症风险预测模型的构建及验证[J]. 中华护理杂志, 2024, 59(16): 1966-1972.
[12]	张成东, 王莺, 卢芳燕. 32例胰腺癌根治手术联合自体小肠移植的护理配合[J]. 中华护理杂志, 2024, 59(16): 2009-2013.
[13]	朱慧娣, 章梅云, 严莉莉, 江月红, 徐巧英. 1例正中弓状韧带压迫综合征患者的围手术期护理[J]. 中华护理杂志, 2024, 59(15): 1891-1894.
[14]	陶建, 雷黎明, 宋亚敏. 27例A型主动脉夹层重度肥胖患者围手术期呼吸道的护理[J]. 中华护理杂志, 2024, 59(15): 1895-1899.
[15]	易敏, 吴霞, 谭小艳, 钟丽娜, 杨琴, 陈艳萍, 刘花艳. 闭塞性细支气管炎患儿肺康复训练系统的研发与应用[J]. 中华护理杂志, 2024, 59(14): 1678-1686.