1例行双心室辅助装置植入术患者的围手术期护理

doi:10.3761/j.issn.0254-1769.2026.05.018

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (5): 702-706.DOI: 10.3761/j.issn.0254-1769.2026.05.018

1例行双心室辅助装置植入术患者的围手术期护理

卢露¹(), 朱林¹, 周晓¹, 李哲¹, 卢芳燕²^,^*()

1.浙江大学医学院附属第一医院心肺移植综合病房杭州市 310003
2.浙江大学医学院附属第一医院护理部杭州市 310003

收稿日期:2025-07-27 出版日期:2026-03-10 发布日期:2026-03-05
*通讯作者: 卢芳燕，E-mail：2196032@zju.edu.cn
作者简介:卢露：女，本科，副主任护师，E-mail：148243728@qq.com

Perioperative nursing care of a patient undergoing biventricular assist device implantation surgery

LU Lu¹(), ZHU Lin¹, ZHOU Xiao¹, LI Zhe¹, LU Fangyan²^,^*()

1. Heart and Lung Transplantation Comprehensive Ward，the First Affiliated Hospital，Zhejiang University School of Medicine，Hangzhou 310003，China
2. Nursing Department，the First Affiliated Hospital，Zhejiang University School of Medicine，Hangzhou 310003，China

Received:2025-07-27 Online:2026-03-10 Published:2026-03-05
* Corresponding author: LU Fangyan，E-mail：2196032@zju.edu.cn

摘要/Abstract

摘要：

总结1例扩张型心肌病合并肺动脉高压患者行双心室辅助装置植入术的围手术期护理经验。术前护理要点：成立多学科个案小组，制订最佳管理方案；做好容量管理，保证血流动力学稳定；落实全环境保护策略，严控术前感染风险。术后护理要点：严密关注病情变化，及时排查高危因素；开展目标导向的容量管理，促进心功能恢复；动态监测凝血指标，实施精准抗凝管理策略；提供个性化营养支持，指导患者康复活动；开展延续性照护，加强宣教指导和监测。经过多学科团队的救治和精细化护理，患者术后9 d从ICU转入普通病房，术后38 d康复出院。出院后随访，恢复良好。

关键词: 双心室辅助装置, 终末期心力衰竭, 围手术期护理

Abstract:

To summarize the perioperative nursing experience of a patient with dilated cardiomyopathy and pulmonary hypertension who underwent biventricular assist device implantation surgery. Preoperative nursing points：establishing a multidisciplinary case team and developing the best management plan；maintain volume management to ensure hemodynamic stability；implementing a comprehensive environmental protection strategy and strictly controlling the risk of preoperative infection. Postoperative nursing points：closely monitoring changes in the condition and promptly identifying high-risk factors；carrying out goal oriented capacity management to promote cardiac function recovery；dynamically monitoring coagulation indicators and implementing precise anticoagulant management strategies；providing personalized nutritional support and guiding patients’ rehabilitation activities；implementing continuity of care，strengthening educational guidance and monitoring. After treatment and refined nursing by a multidisciplinary team，the patient was transferred from the ICU to a general ward 9 days after surgery and recovered and discharged 38 days after surgery. Follow-up after discharge showed good recovery.

Key words: Biventricular Assist Device, End-Stage Heart Failure, Perioperative Nursing

卢露, 朱林, 周晓, 李哲, 卢芳燕. 1例行双心室辅助装置植入术患者的围手术期护理[J]. 中华护理杂志, 2026, 61(5): 702-706.

LU Lu, ZHU Lin, ZHOU Xiao, LI Zhe, LU Fangyan. Perioperative nursing care of a patient undergoing biventricular assist device implantation surgery[J]. Chinese Journal of Nursing, 2026, 61(5): 702-706.

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1例行双心室辅助装置植入术患者的围手术期护理

Perioperative nursing care of a patient undergoing biventricular assist device implantation surgery

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