Abstract:

To summarize the nursing care of a case with perioperative sudden electrical storm of heart valvular disease treated with stellate ganglion block. Nursing points are as follows：to avoid triggering factors before surgery，with early identification of electrical storms；to implement emergency management of electric storm and improve rescue quality；to improve the operation preparation，intraoperative cooperation and observation；to conduct rapid and accurate assessment and pre-control of postoperative complications；to formulate rehabilitation strategies to promote postoperative rehabilitation；to strengthen psychological intervention to ensure emotional stability. The patient was transferred to the department of cardiac surgery from the department of cardiology to install a permanent cardiac resynchronization pacemaker in 6 days after surgery，and discharged successfully 10 days after surgery. The results were good at 14 d and 28 d post-discharge follow-up.

Key words: Tachycandia, Electric Storm, Stellate Ganglion Block, Perioperative Care

摘要：

总结1例心脏瓣膜病围手术期突发电风暴患者行星状神经节阻滞术的护理经验。护理要点：术前避免触发因素，早期识别电风暴；落实电风暴急救管理，提高抢救质量；完善手术准备，做好术中配合与观察；快速准确评估，积极处理并发症；制订康复策略，促进术后康复；加强心理干预，确保情绪稳定。经过精心护理，患者术后6 d从心脏外科顺利转入心内科并安装永久心脏再同步治疗起搏器，术后10 d顺利出院，出院后14、28 d随访，恢复良好。

关键词: 心动过速, 电风暴, 星状神经节阻滞, 围手术期护理