关键词: 左心发育不良综合征, 改良全腔静脉-肺动脉吻合术, 儿科护理学

Abstract:

To summarize the nursing experience of a child with hypoplastic left heart syndrome undergoing modified total vena cava pulmonary artery anastomosis operation. Preoperative nursing points：to establish a multidisciplinary team to formulate the best surgical plan；implementation of pre-rehabilitation nursing to reduce the risk of surgery. Postoperative nursing points：precise volume management to ensure effective pulmonary circulation perfusion；to reduce pulmonary artery pressure and maintain effective cardiac output；early warning of high risk to prevent thrombosis；nutritional support should be strengthened and protein-losing enteropathy should be alert for its incidence. Phase I cardiac rehabilitation training should be strengthened to improve cardiopulmonary function. After careful treatment and nursing care，the child recovered and was discharged on the 28 th day after surgery.

Key words: Hypoplastic Left Heart Syndrome, Modified Total Vena Cava Pulmonary Artery Anastomosis Operation, Pediatric Nursing