Abstract:

This article summarizes the nursing experience of 10 patients with post-left ventricular assist device （LVAD） implantation，where skin allergic reactions of varying degrees and associated cable exit infections occurred after disinfection of the cable exit with 2% chlorhexidine gluconate. Key nursing points：accurately identifying allergic reactions to chlorhexidine disinfectant and providing timely symptomatic care；enhancing skin care to prevent or mitigate infections at the catheter insertion site；conducting thorough patient and family education and training to improve self-monitoring and management of allergic reactions. Through meticulous treatment and nursing care，with follow-up periods ranging from 6 to 30 weeks，7 patients did not experience recurrence of allergies，and 3 cases of secondary infection at the cable exit site showed improvement after treatment and nursing care，with no recurrence of allergic reactions.

Key words: Left Ventricular Assist Device, Cable Exit Skin Management, Chlorhexidine Allergy, Nursing Care

摘要：

总结10例左心室辅助装置植入术后患者线缆出口使用2%葡萄糖酸氯己定醇皮肤消毒液消毒后，皮肤出现不同程度过敏及继发线缆出口感染的护理经验。护理要点：正确识别氯己定消毒液过敏症状，及早进行对症护理；加强皮肤护理，预防线缆出口感染或感染加重；做好患者和家属的健康教育及培训，提升过敏自我监测及管理能力。经过精心的治疗及护理，随访6~30周，7例未再发生过敏，3例继发线缆出口感染，经治疗和护理后好转，未再发生过敏。

关键词: 左心室辅助装置, 线缆出口皮肤管理, 氯己定过敏, 护理