关键词: Uhl’s畸形, 围手术期护理, 儿科护理学

Abstract:

To summarize the postoperative nursing experience for a child with Uhl’s anomaly undergoing complex heart surgery. Nursing key points include implementing goal-oriented liquid negative balance management to promote the recovery of cardiac function；carrying out pressure load management and closely monitoring the heart rate and rhythm to maintain the stability of the circulatory system；closely monitoring the central venous pressure in the upper chamber and paying attention to the changes of the pulmonary artery pressure in real time；adopting a refined integrated management to avoid an abnormal rise in the pulmonary artery pressure；withdrawing invasive mechanical ventilation as early as possible and carrying out the non-invasive ventilator deconditioning training in an orderly manner；the synergistic management of bleeding and anticoagulation；the adoption of various measures to actively prevent complications；the prevention and control of infections in an all-round and multi-angle manner；the formulation of individualized cardiac rehabilitation training and nutritional intervention programs. The child was transferred from the pediatric intensive care unit back to the pediatric ward on postoperative day 9，transferred back to the pediatric intensive care unit on postoperative day 11 for 13 d for right atrial thrombus, stabilized and transferred back to the pediatric ward，and discharged after 10 d for recovery. The prognosis showed good recovery after 1 month and 3 months.

Key words: Uhl’s Anomaly, Perioperative Nursing, Pediatric Nursing