3例左心室辅助装置植入患者术后危重期的护理

doi:10.3761/j.issn.0254-1769.2023.19.014

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (19): 2401-2404.DOI: 10.3761/j.issn.0254-1769.2023.19.014

3例左心室辅助装置植入患者术后危重期的护理

王琳(), 翁峰霞(), 卫建华, 桑明, 高欣

310003 杭州市浙江大学医学院附属第一医院外科监护室

收稿日期:2023-02-02 出版日期:2023-10-10 发布日期:2023-10-12
通讯作者: 翁峰霞，E-mail：wengfengxia@zju.edu.cn
作者简介:王琳：女，本科，主管护师，E-mail：452662693@qq.com
基金资助:
浙江省卫生健康科技计划(2022KY778)

Nursing care of 3 patients with critical complications after left ventricular assist device implantation

WANG Lin(), WENG Fengxia(), WEI Jianhua, SANG Ming, GAO Xin

Received:2023-02-02 Online:2023-10-10 Published:2023-10-12

摘要/Abstract

摘要：

总结3例终末期心力衰竭患者植入左心室辅助装置术后危重期的护理经验。护理要点如下：成立管理小组，制订术后最佳管理方案；密切监护循环功能，警惕发生右心衰竭；实施系统化抗凝管理，监测凝血功能；持续心电监护，关注心律失常；动态管理血钠水平，及时处理高钠血症；积极调试患者心理因素，降低谵妄发生风险。经过精心的治疗和护理，3例均顺利转入普通病房，分别在术后56、29、29 d出院。

关键词: 左心室辅助装置, 终末期心力衰竭, 危重期, 并发症, 护理

Abstract:

To summarize the nursing experience of 3 patients with end-stage heart failure and critical complications after implantation of left ventricular assist device. The main points of care are as follows. A management team was established to formulate the best postoperative management plan，closely monitor circulatory function，and guard against the occurrence of right heart failure. The systematic anticoagulant management was implemented to monitor coagulation function；the continuous ECG monitoring and attention to arrhythmia were conducted；dynamic management of blood sodium level and timely treatment of hypernatremia were carried out； psychological factors were actively adjusted to reduce the risk of delirium. After careful treatment and nursing care，all the 3 cases were transferred to the general ward successfully，and were discharged at 56，29，29 days after surgery，respectively.

Key words: Left Ventricular Assist Device, End-Stage Heart Failure, Critical Period, Complications, Nursing Care

王琳, 翁峰霞, 卫建华, 桑明, 高欣. 3例左心室辅助装置植入患者术后危重期的护理[J]. 中华护理杂志, 2023, 58(19): 2401-2404.

WANG Lin, WENG Fengxia, WEI Jianhua, SANG Ming, GAO Xin. Nursing care of 3 patients with critical complications after left ventricular assist device implantation[J]. Chinese Journal of Nursing, 2023, 58(19): 2401-2404.

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3例左心室辅助装置植入患者术后危重期的护理

Nursing care of 3 patients with critical complications after left ventricular assist device implantation

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