Abstract:

This article summarizes the nursing experience of a patient who underwent percutaneous transluminal septal branch microsphere embolization combined with MitraClip surgery. Nursing key points：before the operation，a multidisciplinary case nursing team was established to jointly optimize the surgical risk plan；checklist-based nursing management was adopted to fully implement preoperative preparations；dynamic psychological assessment was conducted and early psychological intervention was carried out. Intraoperative monitoring and prevention of complications were well implemented. Postoperative care：close monitoring of cardiac function；good volume management to maintain electrolyte balance；implementation of risk management for bleeding or thrombosis；enhanced care for urethral bleeding.The patient was discharged 11 days after the operation and followed up for 3 months. The 6-minute walk distance increased from 240 m before the operation to 560 m，and the patient returned to normal life.

Key words: Percutaneous Transluminal Septal Branch Microsphere Embolization, MitraClip, Cardiomyopathy, Mitral Insufficiency, Perioperative Nursing

摘要：

总结1例经皮腔内室间隔支微粒球栓塞术联合二尖瓣钳夹术患者的护理经验。护理要点如下。术前护理：成立多学科个案护理小组，共同完善手术风险预案；采用清单式护理管理，全面落实术前准备；动态进行心理评估，早期开展心理干预。术中做好并发症的监测及预防。术后护理：预防再发心肌缺血，促进心脏早期康复；做好容量管理，维持电解质平衡；落实出血或血栓形成的风险管理；加强尿道出血的护理。患者术后11 d出院，随访3个月，6 min步行距离由术前的240 m增加至560 m，回归正常生活。

关键词: 经皮腔内室间隔支微粒球栓塞术, 二尖瓣钳夹术, 心肌病, 二尖瓣关闭不全, 围手术期护理