Abstract:

This article explored key points of operative cooperation and nursing for invasive cardiopulmonary exercise test and provided reference for clinical nursing practice. All patients underwent invasive cardiopulmonary exercise tests due to unknown causes of dyspnea. Key points of nursing included：check the key test results before the examination,fully evaluate activity endurance,and assist the optimization of the exercise program,strength catheter management during the examination to avoid postoperative complications,make clear of division of labor,properly arrange and place all kinds of instruments and first-aid items to ensure timely first-aid,perform whole-procedure psychological care to improve sense of safety and relieve anxiety,pay attention to exercise-induced oxidative stress after examination,control speed of infusion to avoid complications such as arrhythmia and heart failure.Three patients were found to have exercise-induced pulmonary hypertension,1 patient had metabolic dysfunction,while the rest of 3 patients had no abnormal results. During the examination,1 patient developed pulmonary embolism,1 patient developed arrhythmia after the examination,and the rest successfully completed the examination.

Key words: Heart Function Tests, Invasive Cardiopulmonary Exercise Test, Nursing Care

摘要：

总结侵入性心肺运动试验的操作配合要点,以期为临床护理提供借鉴。所有患者均因不明原因的呼吸困难行侵入性心肺运动试验,护理要点：①检查前核查关键检查结果,充分评估活动耐力,协助运动方案的优化设置;②检查中加强导管管理,避免并发症;③明确分工,合理摆放各种仪器和急救物品,保证急救及时到位;④进行全程心理护理,增加安全感,舒缓紧张情绪;⑤检查后关注运动氧化应激,控制输液速度,避免心律失常、心力衰竭等并发症。检查后发现有3例患者为运动诱发肺动脉高压,1例为代谢功能障碍导致呼吸困难,其余患者结果无异常。检查过程中1例发生肺栓塞,1例于检查后发生心律失常,其余患者均顺利完成检查。

关键词: 心脏功能试验, 侵入性心肺运动试验, 护理