1例主动脉闭锁合并室间隔缺损患儿行Yasui手术的围手术期护理

doi:10.3761/j.issn.0254-1769.2026.14.015

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (14): 1987-1991.DOI: 10.3761/j.issn.0254-1769.2026.14.015

1例主动脉闭锁合并室间隔缺损患儿行Yasui手术的围手术期护理

孙瑜¹(), 王慧美¹, 徐昱璐², 叶明¹, 张惠锋¹, 诸冰雪³, 陆恺⁴, 顾莺⁵^,^*()

¹ 复旦大学附属儿科医院心胸外科上海市 201102
² 复旦大学附属儿科医院心脏监护室上海市 201102
³ 复旦大学附属儿科医院临床营养科上海市 201102
⁴ 复旦大学附属儿科医院康复中心上海市 201102
⁵ 复旦大学附属儿科医院护理部上海市 201102

收稿日期:2025-09-24 出版日期:2026-07-20 发布日期:2026-07-17
*通讯作者: 顾莺，E-mail：guying0128@aliyun.com
作者简介:孙瑜：女，本科，主管护师，专科护士，E-mail：sunyu_0713@163.com
第一联系人：作者贡献声明
孙瑜：选题设计、资料收集、文献检索、论文撰写；王慧美：选题指导、论文修改；徐昱璐：临床资料收集；叶明、张惠锋：手术诊疗相关信息指导、论文审阅；诸冰雪：营养评估与干预指导；陆恺：康复评估与干预指导；顾莺：选题指导、论文审阅与修改

Perioperative nursing care of a pediatric patient with aortic atresia complicated with ventricular septal defect undergoing Yasui operation

SUN Yu¹(), WANG Huimei¹, XU Yulu², YE Ming¹, ZHANG Huifeng¹, ZHU Bingxue³, LU Kai⁴, GU Ying⁵^,^*()

¹ Department of Cardiothoracic Surgery， Children’s Hospital of Fudan University， Shanghai 201102， China
² Department of Coronary Care Unit， Children’s Hospital of Fudan University， Shanghai 201102， China
³ Department of Clinical Nutrition， Children’s Hospital of Fudan University， Shanghai 201102， China
⁴ Department of Rehabilitation Center， Children’s Hospital of Fudan University， Shanghai 201102， China
⁵ Department of Nursing, Children’s Hospital of Fudan University, Shanghai 201102, China

Received:2025-09-24 Online:2026-07-20 Published:2026-07-17
* Corresponding author: GU Ying，E-mail：guying0128@aliyun.com

摘要/Abstract

摘要：

总结1例主动脉闭锁合并室间隔缺损患儿行Yasui手术的围手术期护理经验，护理要点如下。术前护理：实施术前预康复，优化身体状态；采用共享决策原则，降低对二次手术的恐惧及焦虑；严密监测心功能，规范液体管理，防治心力衰竭。术后护理：精准调控血压，降低后负荷，保护左心室功能；目标导向性抗凝管理，防止出血与血栓的发生；早期分阶段实施心脏康复训练，加快康复进程。经过精心的治疗与护理，患儿于术后36 d康复出院，随访1年，恢复良好。

关键词: 主动脉闭锁, 室间隔缺损, Yasui手术, 围手术期护理, 儿科护理学

Abstract:

To summarize the perioperative nursing experience of a pediatric patient with aortic atresia combined with ventricular septal defect undergoing Yasui surgery. Peroperative nursing points are as follows：implementing prehabilitation interventions to optimize the preoperative physical status；adopting the principle of shared decision-making can reduce the fear and anxiety associated with a second surgery；closely monitoring cardiac function，standardizing fluid management and preventing heart failure. Postoperative nursing points are as follows：precisely regulating blood pressure，reducing afterload，and protecting left ventricular function；implementing goal-directed anticoagulation management to prevent bleeding and thrombosis；carrying out early and staged cardiac rehabilitation training to accelerate postoperative recovery. After careful treatment and nursing care，the pediatric patient recovered and was discharged from the hospital at 36 days after the surgery without any complications in one-year follow up.

Key words: Aortic Atresia, Ventricular Septal Defect, Yasui Operation, Perioperative Nursing, Pediatric Nursing

孙瑜, 王慧美, 徐昱璐, 叶明, 张惠锋, 诸冰雪, 陆恺, 顾莺. 1例主动脉闭锁合并室间隔缺损患儿行Yasui手术的围手术期护理[J]. 中华护理杂志, 2026, 61(14): 1987-1991.

SUN Yu, WANG Huimei, XU Yulu, YE Ming, ZHANG Huifeng, ZHU Bingxue, LU Kai, GU Ying. Perioperative nursing care of a pediatric patient with aortic atresia complicated with ventricular septal defect undergoing Yasui operation[J]. Chinese Journal of Nursing, 2026, 61(14): 1987-1991.

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1例主动脉闭锁合并室间隔缺损患儿行Yasui手术的围手术期护理

Perioperative nursing care of a pediatric patient with aortic atresia complicated with ventricular septal defect undergoing Yasui operation

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