Postoperative nursing care of a child with right ventricular double outlet and Dandy-Walker syndrome

doi:10.3761/j.issn.0254-1769.2021.03.020

Abstract

Abstract:

A child with right ventricular double outlet complicated with Dandy-walker syndrome after primary nursing experience was summarized. The main points of nursing include cardiac function maintenance,nervous system observation and protection,prevention of complications,control of infection and nutritional support,among which left ventricular function maintenance,nervous system symptom observation and prevention are the keys. Through individualized and meticulous treatment and nursing care,the child recovered well and was transferred to neurosurgery for the second stage Dandy-walker syndrome correction 14 d after the operation.

Key words: Double Outlet of Right Ventricle, Dandy-Walker Syndrome, Pediatric Nursing, Perioperative Nursing

摘要：

总结1例右心室双出口合并丹迪-沃克综合征患儿的一期矫治术后护理经验。护理要点包括心功能维护、神经系统观察及保护、预防并发症、控制感染及营养支持等,其中左心功能维护、神经系统症状观察是关键。经过个体化、精细化的治疗与护理,患儿病情恢复良好,于术后14 d转至神经外科拟行二期丹迪-沃克综合征矫治。

关键词: 右心室双出口, 丹迪-沃克综合征, 儿科护理学, 围手术期护理

LIU Wei, HAN Dong, BU Huidi. Postoperative nursing care of a child with right ventricular double outlet and Dandy-Walker syndrome[J]. Chinese Journal of Nursing, 2021, 56(3): 431-434.

刘伟, 韩冬, 卜惠弟. 右心室双出口合并丹迪-沃克综合征患儿的一期矫治术后护理[J]. 中华护理杂志, 2021, 56(3): 431-434.

References 15

[1]	贾艳, 李庆印 . 大动脉调转手术治疗48例右室双出口患儿的术后护理[J]. 中华护理杂志, 2011,46(1):56-58.
	Jia Y, Li QY . Postoperative nursing of 48 children after arterial switch operation for treatment of double outlet right of ventricle[J]. Chin J Nurs, 2011,46(1):56-58.
[2]	杨思源, 陈树宝 . 小儿心脏病学[M]. 4版. 北京: 人民卫生出版社, 2012: 404-409.
	Yang SY, Chen SB. Pediatric cardiology[M]. 4th ed. Beijing: People's Medical Publishing House, 2012: 404-409.
[3]	Ong J , Brizard CP,d'Udekem Y,et al. Repair of atrioventricular septal defect associated with tetralogy of fallot or double-outlet right ventricle:30 years of experience[J]. Ann Thorac Surg, 2012,94(1):172-178.
[4]	姚娟, 方嵘, 沈学萍 , 等. 两例Dandy-Walker畸形胎儿的遗传学分析[J]. 中华医学遗传学杂志, 2017,34(5):666-670.
	Yao J, Fang R, Shen XP , et al. Genetic analysis of two cases with Dandy-Walker deformed fetus[J]. Chin J Med Genet, 2017,34(5):666-670.
[5]	Lex DJ, Tóth R, Czobor NR , et al. Fluid overload is associated with higher mortality and morbidity in pediatric patients undergoing cardiac surgery[J]. Pediatr Crit Care Med, 2016,17(4):307-314.
[6]	Wilder NS, Yu S, Donohue JE , et al. Fluid overload is associated with late poor outcomes in neonates following cardiac surgery[J]. Pediatr Crit Care Med, 2016,17(5):420-427.
[7]	Hoste EA, Maitland K, Brudney CS , et al. Four phases of intravenous fluid therapy:a conceptual model[J]. Br J Anaesth, 2014,113(5):740-747.
[8]	蒋羲东 . 成人低血压危害及防止[J]. 中外健康文摘, 2013,38(9):74-75.
	Jiang XD . Harm and prevention of hypotension in adults[J]. Chin Fore Heal Abstr, 2013,38(9):74-75.
[9]	Riegger LQ, Voepel-Lewis T, Kulik TJ , et al. Albumin versus crystalloid prime solution for cardiopulmonary bypass in young children[J]. Crit Care Med, 2002,30(12):2649-2654.
[10]	Hassinger AB, Wald EL, Goodman DM . Early postoperative fluid overload precedes acute kidney injury and is associated with higher morbidity in pediatric cardiac surgery patients[J]. Pediatr Crit Care Med, 2014,15(2):131-138.
[11]	许楠楠, 苏桂芳 . 新型医用冰帽的制作与应用[J]. 实用临床护理学电子杂志, 2018,3(10):192.
	Xu NN, Su GF . Production and application of new medical ice cap[J]. J Clin Nurs Pract, 2018,3(10):192.
[12]	Shah D, Mathur A . Amplitude-integrated EEG and the newborn infant[J]. Curr Pediatr Rev, 2014,10(1):11-15.
[13]	蒲珂, 李庆国, 李国栋 , 等. 预防性应用抗生素对脑室-腹腔分流术后感染的影响[J]. 中华神经外科杂志, 2019,35(3):298-301.
	Pu K, Li QG, Li GD , et al. The effect of antibiotic prophylaxis on infection post ventriculo-peritoneal shunting[J]. Chin J Neu-rosurg, 2019,35(3):298-301.
[14]	孙红, 陈利芬, 郭彩霞 , 等. 临床静脉导管维护操作专家共识[J]. 中华护理杂志, 2019,54(9):1334-1342.
	Sun H, Chen LF, Guo CX , et al. Expert consensus on venous catheter maintenance[J]. Chin J Nurs, 2019,54(9):1334-1342.
[15]	梁晓丽, 崔妮, 刘伟 , 等. 离体切除心脏肿瘤患儿自体心脏移植的护理[J]. 中华护理杂志, 2020,55(1):131-133.
	Liang XL, Cui N, Liu W , et al. Nursing care of autologous heart transplantation in children with isolated cardiac tumors[J]. Chin J Nurs, 2020,55(1):131-133.