3例经心尖行二尖瓣瓣中瓣手术老年患者的护理

doi:10.3761/j.issn.0254-1769.2022.23.014

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (23): 2912-2916.DOI: 10.3761/j.issn.0254-1769.2022.23.014

3例经心尖行二尖瓣瓣中瓣手术老年患者的护理

高欣(), 翁峰霞, 桑明, 蒋春艳, 卫建华(), 周渝琼

310003 杭州市浙江大学医学院附属第一医院外科监护室（高欣，翁峰霞，桑明，蒋春艳，卫建华），手术室（周渝琼）

收稿日期:2022-04-20 出版日期:2022-12-10 发布日期:2022-12-05
通讯作者: 卫建华，E-mail：1188029@zju.edu.cn
作者简介:高欣：女，本科，护师，E-mail：1213983343@qq.com
基金资助:
浙江省医药卫生科技计划项目(2022KY768)

Nursing care of 3 elderly patients undergoing mitral valve median valve surgery at the cusp of the heart after mitral valve replacement surgery

GAO Xin(), WENG Fengxia, SANG Ming, JIANG Chunyan, WEI Jianhua(), ZHOU Yuqiong

Received:2022-04-20 Online:2022-12-10 Published:2022-12-05

摘要/Abstract

摘要：

总结3例二尖瓣置换术后老年患者经心尖行二尖瓣瓣中瓣手术的护理。护理内容如下。组建多学科照护团队，制订术前评估策略。术后监测血流动力学，改善心功能；优化气道管理，降低肺部并发症；监测凝血功能、肾功能，做好血糖管理，临时起搏器的护理，积极预防并发症的发生。实施多层面干预措施，改善患者预后。3例经过精心的治疗和护理，顺利出院，1个月后随访，恢复良好。

关键词: 二尖瓣成形术, 老年人, 经心尖, 二尖瓣瓣中瓣手术, 护理

Abstract:

To summarize the nursing care of 3 elderly patients undergoing mitral valve middle valve surgery at the cusp of the heart after mitral valve replacement surgery. The nursing content is as follows：Forming a multidisciplinary care team and developing preoperative assessment strategies；postoperative hemodynamic monitoring to improve cardiac function；optimize airway management and reduce pulmonary complications；monitor coagulation function and kidney function，implement blood glucose management，nursing temporary pacemakers，and actively prevent the occurrence of corresponding complications;implement multifaceted interventions to improve patient outcomes. 3 patients were successfully discharged from the hospital under careful treatment and care. The follow-up results at 1 month after discharge were good.

Key words: Mitral Valve Annuloplasty, Aged, Through the Cusp of the Heart, Mitral Valve Middle Valve Surgery, Nursing Care

高欣, 翁峰霞, 桑明, 蒋春艳, 卫建华, 周渝琼. 3例经心尖行二尖瓣瓣中瓣手术老年患者的护理[J]. 中华护理杂志, 2022, 57(23): 2912-2916.

GAO Xin, WENG Fengxia, SANG Ming, JIANG Chunyan, WEI Jianhua, ZHOU Yuqiong. Nursing care of 3 elderly patients undergoing mitral valve median valve surgery at the cusp of the heart after mitral valve replacement surgery[J]. Chinese Journal of Nursing, 2022, 57(23): 2912-2916.

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3例经心尖行二尖瓣瓣中瓣手术老年患者的护理

Nursing care of 3 elderly patients undergoing mitral valve median valve surgery at the cusp of the heart after mitral valve replacement surgery

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