Abstract:

To summarize the nursing care of a patient with spinal shock following combined mechanical circulatory support after heart valve surgery. The mainly nursing points are as follows. In the acute stage，hemodynamic and internal environment stability were maintained，and extracorporeal cardiopulmonary resuscitation was implemented by a multidisciplinary rapid response team. In the period of mechanical circulatory support，related complications were closely monitored，and a protocolized weaning strategy was implemented. During the spinal shock period，the focus was on maintaining spinal cord，lung and bowel function. During the recovery period，phased enhancement of early rehabilitation and intervention in negative psychological emotions were conducted. The patient successfully removed the mechanical circulatory device on the 9th day postoperatively，achieved grade 4 muscle strength in the left upper and grade 3 in other limbs after 32 days of hospitalization，ultimately discharged successfully from the hospital.

Key words: Heart Valve Diseases, Heart Valve Replacement, Mechanical Circulatory Support, Spinal Shock, Nursing Care

摘要：

总结1例心脏瓣膜病术后行机械循环辅助患者继发脊髓休克的护理经验。护理要点：术后急性期维持血流动力学及内环境稳定，联合多学科快速反应团队实施体外心肺复苏；机械循环辅助期严密监控相关并发症，落实个体化程序式撤机方案；脊髓休克期重点维护脊髓、肺及肠道功能；恢复期分阶段开展早期康复锻炼，积极干预负性情绪。患者术后9 d安全撤除机械循环装置，住院32 d左上肢肌力恢复至4级，其余肢体肌力为3级，顺利出院。

关键词: 心脏瓣膜疾病, 心脏瓣膜置换, 机械循环辅助, 脊髓休克, 护理