关键词: 川崎病, 冠状动脉旁路移植术，非体外循环, 围手术期护理, 儿科护理学

Abstract:

This article summarized the nursing care experience of a pediatric patient with kawasaki disease after off-pump coronary artery bypass grafting. The key points of nursing care include：①the emergency treatment plan of chest pain was formulated before operation to prevent and identify myocardial infarction as soon as possible；early respiratory function training was carried out to improve cardiopulmonary function；risk management was improved to prevent rupture of coronary artery aneurysm. ②The circulatory system was closely monitored to ensure stable hemodynamic performance during operation；fluid balance was maintained to prevent renal function injury.③Posto-perative pain and irritation were managed to prevent atrial fibrillation；the coagulation function was monitored，and coagulation associated complications，such as epistaxis，should be treated timely；non-pharmacological intervention measures were taken to relieve postoperative delirium；individualized exercise rehabilitation care plan was made to enhance recovery；individualized diet plan was made to improve the nutritional status；structural education was enhanced to make the patient and his parents more cooperative. After careful treatment and nursing care，the patient recovered and was discharged from the hospital at 16 days after the surgery without any complications in one-year follow up.

Key words: Kawasaki Disease, Coronary Artery Bypass，Off-Pump, Perioperative Nursing, Pediatric Nursing