关键词: 二尖瓣置换术, 老年人, Takotsubo综合征, 护理

Abstract:

This study summarizes the nursing experience of an elderly patient who developed Takotsubo syndrome following mitral valve replacement surgery. Key nursing points include：close monitoring of electrocardiogram and myocardial enzyme spectrum changes for early identification of Takotsubo syndrome；implementation of a multi-dimensional collaborative circulatory support strategy；establishment of a triadic psychological intervention model comprising “environment-communication-family support” to prevent the exacerbation of Takotsubo syndrome based on stressor management；application of multimodal early rehabilitation interventions to shorten mechanical ventilation duration. After meticulous treatment and care，the left ventricular ejection fraction （LVEF） of the patient improved to 46% on postoperative day 12. There were no occurrences of malignant arrhythmias or multiple organ dysfunction. On postoperative day 16，the patient was transferred to a general ward for continued specialized treatment，and on postoperative day 22，the patient was successfully discharged after rehabilitation.

Key words: Mitral Valve Replacement, Aged, Takotsubo Syndrome, Nursing Care